How much rates vary
Facilitymedian $759 · 10th to 90th $107 to $11,482Professionalmedian $155 · 10th to 90th $102 to $417
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 $208.93 Median $8,317.64 Typical High $13,182.57 | Facility | None | $208.93 | $8,317.64 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $234.42 Typical High $398.11 | Facility | 26 · Professional part | $102.33 | $234.42 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $70.79 Typical High $91.20 | Facility | TC · Technical part | $26.92 | $70.79 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $10,964.78 | Professional | None (both parts) | $112.20 | $208.93 | $10,964.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $398.11 | Professional | 26 · Professional part | $85.11 | $109.65 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $26.92 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $120.23 | $144.54 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $120.23 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $25.12 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $128.82 | Facility | None | $30.90 | $97.72 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $123.03 | $204.17 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $154.88 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $154.88 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $29.51 | $48.98 | $77.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $123.03 | $204.17 | $316.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $154.88 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $154.88 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $48.98 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $70.79 | $81.28 | $104.71 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $85.11 | $123.03 |
United Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $3,311.31 | Facility | None | $97.72 | $257.04 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $281.84 Typical High $2,818.38 | Professional | None (both parts) | $141.25 | $281.84 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $104.71 | $177.83 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $70.79 Typical High $2,630.27 | Professional | TC · Technical part | $34.67 | $70.79 | $2,630.27 |
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 $954.99 | Professional | 52 · Reduced service | $56.23 | $56.23 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $380.19 | Professional | 53 · Discontinued | $22.39 | $22.39 | $380.19 |
Where Ohio sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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
$162
TN $2,344SC $126
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.