How much rates vary
Facilitymedian $309 · 10th to 90th $98 to $2,188Professionalmedian $195 · 10th to 90th $79 to $2,754
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 $112.20 Median $309.03 Typical High $380.19 | Facility | None | $112.20 | $309.03 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $173.78 Typical High $208.93 | Facility | 26 · Professional part | $54.95 | $173.78 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $162.18 Typical High $194.98 | Facility | TC · Technical part | $57.54 | $162.18 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $380.19 | Professional | None (both parts) | $112.20 | $138.04 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $208.93 | Professional | 26 · Professional part | $54.95 | $81.28 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $57.54 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $87.10 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $2,137.96 Typical High $3,162.28 | Professional | None (both parts) | $93.33 | $2,137.96 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $77.62 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $109.65 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $128.82 | Facility | None | $63.10 | $66.07 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $109.65 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $83.18 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $87.10 | $165.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $109.65 | $169.82 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $83.18 | $144.54 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $87.10 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $27.54 | $79.43 | $93.33 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $173.78 | $190.55 | $331.13 |
United Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $2,398.83 | Facility | None | $97.72 | $257.04 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $154.88 | $199.53 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $83.18 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $257.04 | Professional | TC · Technical part | $91.20 | $117.49 | $257.04 |
2 more rates 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 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $199.53 | Professional | 52 · Reduced service | $56.23 | $56.23 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $79.43 | Professional | 53 · Discontinued | $22.91 | $22.91 | $79.43 |
Where Ohio sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 22nd of 51
$200
WI $417VA $110
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.