How much rates vary
Facilitymedian $562 · 10th to 90th $229 to $977Professionalmedian $186 · 10th to 90th $135 to $324
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 $177.83 Median $346.74 Typical High $630.96 | Facility | None | $177.83 | $346.74 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $70.79 Typical High $134.90 | Facility | 26 · Professional part | $36.31 | $70.79 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $501.19 | Facility | TC · Technical part | $138.04 | $263.03 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $524.81 | Professional | None (both parts) | $173.78 | $199.53 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $36.31 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $151.36 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $141.25 | $147.91 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $37.15 | $60.26 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $109.65 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $154.88 | $181.97 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $31.62 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $151.36 | $229.09 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $158.49 | $181.97 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $35.48 | $141.25 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $1,071.52 | Facility | None | $426.58 | $537.03 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $173.78 | $190.55 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $38.90 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $151.36 | $323.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,230.27 | Facility | None | $457.09 | $741.31 | $1,230.27 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $173.78 | $181.97 | $380.19 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $38.90 | $85.11 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $144.54 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $42.66 | $194.98 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $181.97 | $186.21 | $288.40 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $38.90 | $60.26 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $144.54 | $158.49 | $229.09 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $165.96 | $218.78 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $37.15 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $194.98 | $331.13 |
3 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 $87.10 Median $87.10 Typical High $257.04 | Professional | 52 · Reduced service | $87.10 | $87.10 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $102.33 | Professional | 53 · Discontinued | $35.48 | $35.48 | $102.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 59 · Distinct service | $147.91 | $147.91 | $147.91 |
Where Ohio sits
The same service costs 3.2 times more in Minnesota 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· 46th of 51
$191
MN $501UT $158
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.