How much rates vary
Facilitymedian $2,754 · 10th to 90th $912 to $12,023Professionalmedian $891 · 10th to 90th $269 to $1,585
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,454.71 Median $9,332.54 Typical High $13,182.57 | Facility | None | $2,454.71 | $9,332.54 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $691.83 Typical High $831.76 | Facility | 26 · Professional part | $245.47 | $691.83 | $831.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $1,819.70 Typical High $2,187.76 | Facility | TC · Technical part | $660.69 | $1,819.70 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,348.96 Typical High $11,220.18 | Professional | None (both parts) | $912.01 | $1,348.96 | $11,220.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $776.25 | Professional | 26 · Professional part | $245.47 | $245.47 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | TC · Technical part | $660.69 | $660.69 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $10,715.19 | Facility | None | $794.33 | $1,819.70 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $2,511.89 | Professional | None (both parts) | $741.31 | $1,047.13 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $323.59 Typical High $489.78 | Professional | 26 · Professional part | $251.19 | $323.59 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $724.44 Typical High $977.24 | Professional | TC · Technical part | $478.63 | $724.44 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $1,000.00 | Facility | None | $281.84 | $724.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $3,090.30 | Facility | None | $1,621.81 | $1,905.46 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $1,819.70 | Professional | None (both parts) | $851.14 | $1,122.02 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $234.42 | $316.23 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $812.83 Typical High $1,258.93 | Professional | TC · Technical part | $616.60 | $812.83 | $1,258.93 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,951.21 | Facility | None | $1,621.81 | $1,905.46 | $2,951.21 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $1,819.70 | Professional | None (both parts) | $851.14 | $1,122.02 | $1,819.70 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $234.42 | $316.23 | $575.44 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $812.83 Typical High $1,258.93 | Professional | TC · Technical part | $616.60 | $812.83 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $691.83 Typical High $1,047.13 | Professional | None (both parts) | $239.88 | $691.83 | $1,047.13 |
SummaCare Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $1,047.13 | Facility | None | $870.96 | $933.25 | $1,047.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $851.14 Median $933.25 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $933.25 | $1,621.81 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $8,709.64 | Facility | None | $851.14 | $2,630.27 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,122.02 Typical High $2,238.72 | Professional | None (both parts) | $870.96 | $1,122.02 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $346.74 Typical High $602.56 | Professional | 26 · Professional part | $245.47 | $346.74 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $794.33 Typical High $1,621.81 | Professional | TC · Technical part | $602.56 | $794.33 | $1,621.81 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $1,862.09 | Professional | 54 · Surgery only | $676.08 | $676.08 | $1,862.09 |
Where Ohio sits
The same service costs 4.2 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Ohio· 50th of 51
$977
WI $3,631NY $871
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.