How much rates vary
Facilitymedian $2,884 · 10th to 90th $933 to $11,482Professionalmedian $1,148 · 10th to 90th $347 to $2,239
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 $2,238.72 Median $9,332.54 Typical High $13,182.57 | Facility | None | $2,238.72 | $9,332.54 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $588.84 Median $891.25 Typical High $1,122.02 | Facility | 26 · Professional part | $588.84 | $891.25 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,288.25 Median $2,041.74 Typical High $2,754.23 | Facility | TC · Technical part | $1,288.25 | $2,041.74 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $2,951.21 Typical High $11,220.18 | Professional | None (both parts) | $1,148.15 | $2,951.21 | $11,220.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $1,122.02 | Professional | 26 · Professional part | $331.13 | $331.13 | $1,122.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $2,511.89 | Professional | TC · Technical part | $812.83 | $812.83 | $2,511.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
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 $954.99 Median $1,348.96 Typical High $3,162.28 | Professional | None (both parts) | $954.99 | $1,348.96 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $426.58 Typical High $645.65 | Professional | 26 · Professional part | $331.13 | $426.58 | $645.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $912.01 Typical High $1,230.27 | Professional | TC · Technical part | $630.96 | $912.01 | $1,230.27 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $1,288.25 | Facility | None | $380.19 | $912.01 | $1,288.25 |
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 $1,096.48 Median $1,445.44 Typical High $2,398.83 | Professional | None (both parts) | $1,096.48 | $1,445.44 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $416.87 Typical High $758.58 | Professional | 26 · Professional part | $316.23 | $416.87 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | TC · Technical part | $776.25 | $1,023.29 | $1,621.81 |
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 $1,096.48 Median $1,445.44 Typical High $2,398.83 | Professional | None (both parts) | $1,096.48 | $1,445.44 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $416.87 Typical High $758.58 | Professional | 26 · Professional part | $316.23 | $416.87 | $758.58 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | TC · Technical part | $776.25 | $1,023.29 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $316.23 | $870.96 | $1,348.96 |
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 $1,096.48 Median $1,202.26 Typical High $2,089.30 | Professional | None (both parts) | $1,096.48 | $1,202.26 | $2,089.30 |
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 $1,122.02 Median $1,445.44 Typical High $2,818.38 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $457.09 Typical High $812.83 | Professional | 26 · Professional part | $331.13 | $457.09 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,000.00 Typical High $1,995.26 | Professional | TC · Technical part | $794.33 | $1,000.00 | $1,995.26 |
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 $870.96 Median $870.96 Typical High $2,630.27 | Professional | 54 · Surgery only | $870.96 | $870.96 | $2,630.27 |
Where Ohio sits
The same service costs 4.0 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· 47th of 51
$1,259
WI $4,467NY $1,122
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.