How much rates vary
Facilitymedian $676 · 10th to 90th $457 to $5,012Professionalmedian $204 · 10th to 90th $76 to $363
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 $199.53 Median $549.54 Typical High $676.08 | Facility | None | $199.53 | $549.54 | $676.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $147.91 Median $416.87 Typical High $501.19 | Facility | 26 · Professional part | $147.91 | $416.87 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $141.25 Typical High $169.82 | Facility | TC · Technical part | $51.29 | $141.25 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $1,023.29 | Professional | None (both parts) | $199.53 | $199.53 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $933.25 | Professional | 26 · Professional part | $147.91 | $147.91 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $51.29 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $245.47 | $302.00 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $302.00 | Professional | 26 · Professional part | $169.82 | $204.17 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $97.72 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $181.97 | $251.19 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $190.55 Typical High $380.19 | Professional | 26 · Professional part | $134.90 | $190.55 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $147.91 | Professional | TC · Technical part | $45.71 | $61.66 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $177.83 | $251.19 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $190.55 Typical High $363.08 | Professional | 26 · Professional part | $134.90 | $190.55 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $44.67 | $61.66 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $61.66 | $144.54 | $263.03 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $154.88 | $190.55 | $223.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $141.25 | $165.96 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $38.90 | $47.86 | $56.23 |
United Setting Facility Modifier None Typical Low $478.63 Median $2,187.76 Typical High $6,456.54 | Facility | None | $478.63 | $2,187.76 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $169.82 | $288.40 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $128.82 | $208.93 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $43.65 | $85.11 | $128.82 |
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 $100.00 Median $100.00 Typical High $512.86 | Professional | 52 · Reduced service | $100.00 | $100.00 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $208.93 | Professional | 53 · Discontinued | $39.81 | $39.81 | $208.93 |
Where Ohio sits
The same service costs 3.5 times more in Alaska 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· 42nd of 51
$204
AK $468UT $132
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.