How much rates vary
Facilitymedian $2,630 · 10th to 90th $933 to $11,482Professionalmedian $1,000 · 10th to 90th $309 to $1,995
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 $1,995.26 Median $9,120.11 Typical High $13,182.57 | Facility | None | $1,995.26 | $9,120.11 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $346.74 Median $794.33 Typical High $977.24 | Facility | 26 · Professional part | $346.74 | $794.33 | $977.24 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $1,862.09 Typical High $2,454.71 | Facility | TC · Technical part | $831.76 | $1,862.09 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,995.26 Typical High $11,220.18 | Professional | None (both parts) | $1,023.29 | $1,995.26 | $11,220.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $954.99 | Professional | 26 · Professional part | $295.12 | $346.74 | $954.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $794.33 Typical High $1,995.26 | Professional | TC · Technical part | $724.44 | $794.33 | $1,995.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | 26 · Professional part | $316.23 | $316.23 | $363.08 |
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 $758.58 Median $1,148.15 Typical High $2,818.38 | Professional | None (both parts) | $758.58 | $1,148.15 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $380.19 Typical High $575.44 | Professional | 26 · Professional part | $288.40 | $380.19 | $575.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $616.60 | $794.33 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $794.33 Typical High $1,122.02 | Facility | None | $338.84 | $794.33 | $1,122.02 |
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 $954.99 Median $1,288.25 Typical High $2,187.76 | Professional | None (both parts) | $954.99 | $1,288.25 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $676.08 | Professional | 26 · Professional part | $281.84 | $371.54 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $912.01 Typical High $1,513.56 | Professional | TC · Technical part | $691.83 | $912.01 | $1,513.56 |
Medical Mutual of Ohio 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 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,288.25 Typical High $2,187.76 | Professional | None (both parts) | $954.99 | $1,288.25 | $2,187.76 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $676.08 | Professional | 26 · Professional part | $281.84 | $371.54 | $676.08 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $912.01 Typical High $1,513.56 | Professional | TC · Technical part | $691.83 | $912.01 | $1,513.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $758.58 Typical High $1,174.90 | Professional | None (both parts) | $275.42 | $758.58 | $1,174.90 |
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 $954.99 Median $1,122.02 Typical High $1,995.26 | Professional | None (both parts) | $954.99 | $1,122.02 | $1,995.26 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $616.60 | Professional | 26 · Professional part | $281.84 | $331.13 | $616.60 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,380.38 | Professional | TC · Technical part | $676.08 | $794.33 | $1,380.38 |
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 $1,000.00 Median $1,348.96 Typical High $2,511.89 | Professional | None (both parts) | $1,000.00 | $1,348.96 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $407.38 Typical High $724.44 | Professional | 26 · Professional part | $288.40 | $407.38 | $724.44 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $933.25 Typical High $1,778.28 | Professional | TC · Technical part | $707.95 | $933.25 | $1,778.28 |
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 $758.58 Median $758.58 Typical High $1,659.59 | Professional | 54 · Surgery only | $758.58 | $758.58 | $1,659.59 |
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· 50th of 51
$1,122
WI $4,074NY $1,023
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.