How much rates vary
Facilitymedian $1,000 · 10th to 90th $427 to $10,965Professionalmedian $245 · 10th to 90th $186 to $437
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 $10,232.93 Typical High $13,803.84 | Facility | None | $354.81 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $9,332.54 | Professional | None (both parts) | $229.09 | $229.09 | $9,332.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $489.78 | Professional | 26 · Professional part | $165.96 | $165.96 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $60.26 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $199.53 | $245.47 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $162.18 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $66.07 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $190.55 Typical High $263.03 | Facility | None | $69.18 | $190.55 | $263.03 |
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 $218.78 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $218.78 | $295.12 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $213.80 Typical High $323.59 | Professional | 26 · Professional part | $162.18 | $213.80 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $77.62 | $125.89 |
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 $218.78 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $218.78 | $295.12 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $213.80 Typical High $338.84 | Professional | 26 · Professional part | $162.18 | $213.80 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $77.62 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $54.95 | $194.98 | $245.47 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $234.42 | $257.04 | $436.52 |
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 $234.42 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $234.42 | $288.40 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $208.93 Typical High $407.38 | Professional | 26 · Professional part | $162.18 | $208.93 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $83.18 | $181.97 |
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 $112.20 Median $112.20 Typical High $281.84 | Professional | 52 · Reduced service | $112.20 | $112.20 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $112.20 | Professional | 53 · Discontinued | $45.71 | $45.71 | $112.20 |
Where Ohio sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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
$257
LA $1,288AL $224
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.