How much rates vary
Facilitymedian $3,090 · 10th to 90th $933 to $12,023Professionalmedian $1,202 · 10th to 90th $347 to $2,455
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 $3,235.94 Median $9,332.54 Typical High $13,182.57 | Facility | None | $3,235.94 | $9,332.54 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $363.08 Median $1,023.29 Typical High $1,230.27 | Facility | 26 · Professional part | $363.08 | $1,023.29 | $1,230.27 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $2,398.83 Typical High $2,951.21 | Facility | TC · Technical part | $870.96 | $2,398.83 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,454.71 Typical High $11,220.18 | Professional | None (both parts) | $1,230.27 | $2,454.71 | $11,220.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $371.54 Typical High $1,202.26 | Professional | 26 · Professional part | $363.08 | $371.54 | $1,202.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $2,754.23 | Professional | TC · Technical part | $870.96 | $870.96 | $2,754.23 |
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 $1,047.13 Median $1,445.44 Typical High $3,388.44 | Professional | None (both parts) | $1,047.13 | $1,445.44 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $467.74 Typical High $724.44 | Professional | 26 · Professional part | $363.08 | $467.74 | $724.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $954.99 Typical High $1,288.25 | Professional | TC · Technical part | $660.69 | $954.99 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $954.99 Typical High $1,380.38 | Facility | None | $426.58 | $954.99 | $1,380.38 |
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 $1,202.26 Median $1,584.89 Typical High $2,691.53 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $831.76 | Professional | 26 · Professional part | $354.81 | $467.74 | $831.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,122.02 Typical High $1,819.70 | Professional | TC · Technical part | $831.76 | $1,122.02 | $1,819.70 |
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 $1,202.26 Median $1,584.89 Typical High $2,691.53 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $831.76 | Professional | 26 · Professional part | $354.81 | $467.74 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,122.02 Typical High $1,819.70 | Professional | TC · Technical part | $831.76 | $1,122.02 | $1,819.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $912.01 Typical High $1,445.44 | Professional | None (both parts) | $316.23 | $912.01 | $1,445.44 |
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 $1,174.90 Median $1,288.25 Typical High $2,238.72 | Professional | None (both parts) | $1,174.90 | $1,288.25 | $2,238.72 |
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 $1,202.26 Median $1,621.81 Typical High $3,019.95 | Professional | None (both parts) | $1,202.26 | $1,621.81 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $501.19 Typical High $891.25 | Professional | 26 · Professional part | $363.08 | $501.19 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,122.02 Typical High $2,137.96 | Professional | TC · Technical part | $851.14 | $1,122.02 | $2,137.96 |
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 $933.25 Median $933.25 Typical High $1,949.84 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,949.84 |
Where Ohio sits
The same service costs 3.9 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
$1,318
WI $4,898NY $1,259
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.