How much rates vary
Facilitymedian $6,457 · 10th to 90th $955 to $12,589Professionalmedian $389 · 10th to 90th $79 to $646
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 $954.99 Median $8,317.64 Typical High $13,182.57 | Facility | None | $954.99 | $8,317.64 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $263.03 Median $724.44 Typical High $891.25 | Facility | 26 · Professional part | $263.03 | $724.44 | $891.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $223.87 Typical High $275.42 | Facility | TC · Technical part | $81.28 | $223.87 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $1,258.93 | Professional | None (both parts) | $346.74 | $346.74 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $1,047.13 | Professional | 26 · Professional part | $263.03 | $263.03 | $1,047.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $81.28 | $81.28 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $446.68 | $549.54 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $275.42 Typical High $416.87 | Professional | 26 · Professional part | $234.42 | $275.42 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $245.47 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $302.00 | $436.52 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $338.84 Typical High $524.81 | Professional | 26 · Professional part | $234.42 | $338.84 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $245.47 | Professional | TC · Technical part | $74.13 | $97.72 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $309.03 | $436.52 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $338.84 Typical High $524.81 | Professional | 26 · Professional part | $234.42 | $338.84 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $239.88 | Professional | TC · Technical part | $74.13 | $97.72 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $61.66 | $275.42 | $457.09 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $269.15 | $331.13 | $389.05 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $251.19 Typical High $295.12 | Professional | 26 · Professional part | $204.17 | $251.19 | $295.12 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $79.43 | $93.33 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,801.89 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $295.12 | $467.74 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $295.12 Typical High $489.78 | Professional | 26 · Professional part | $218.78 | $295.12 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $69.18 | $134.90 | $275.42 |
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 $173.78 Median $173.78 Typical High $575.44 | Professional | 52 · Reduced service | $173.78 | $173.78 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $229.09 | Professional | 53 · Discontinued | $69.18 | $69.18 | $229.09 |
Where Ohio sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 38th of 51
$389
WI $813UT $240
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.