How much rates vary
Facilitymedian $871 · 10th to 90th $427 to $10,715Professionalmedian $170 · 10th to 90th $120 to $316
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 $354.81 Median $9,332.54 Typical High $12,589.25 | Facility | None | $354.81 | $9,332.54 | $12,589.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $331.13 Typical High $398.11 | Facility | 26 · Professional part | $120.23 | $331.13 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $120.23 Typical High $144.54 | Facility | TC · Technical part | $43.65 | $120.23 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $9,332.54 | Professional | None (both parts) | $162.18 | $162.18 | $9,332.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $398.11 | Professional | 26 · Professional part | $120.23 | $120.23 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $43.65 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $138.04 | $173.78 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $123.03 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $44.67 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $190.55 | Facility | None | $50.12 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $501.19 | Facility | None | $100.00 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $158.49 | $208.93 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $117.49 | $154.88 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $56.23 | $89.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $501.19 | Facility | None | $100.00 | $446.68 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $158.49 | $208.93 | $316.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $154.88 | $239.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $56.23 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $31.62 | $123.03 | $158.49 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $162.18 | $177.83 | $309.03 |
United Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $5,495.41 | Facility | None | $501.19 | $977.24 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $162.18 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $147.91 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $57.54 | $125.89 |
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 $81.28 Median $81.28 Typical High $213.80 | Professional | 52 · Reduced service | $81.28 | $81.28 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $85.11 | Professional | 53 · Discontinued | $32.36 | $32.36 | $85.11 |
Where Ohio sits
The same service costs 8.3 times more in Louisiana than in Hawaii. 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· 46th of 51
$182
LA $1,288HI $155
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.