How much rates vary
Facilitymedian $331 · 10th to 90th $214 to $479Professionalmedian $145 · 10th to 90th $100 to $240
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 $181.97 Median $316.23 Typical High $407.38 | Facility | None | $181.97 | $316.23 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $63.10 Typical High $83.18 | Facility | 26 · Professional part | $28.84 | $63.10 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $257.04 Typical High $323.59 | Facility | TC · Technical part | $117.49 | $257.04 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $389.05 | Professional | None (both parts) | $114.82 | $114.82 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $77.62 | Professional | 26 · Professional part | $22.39 | $22.91 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $93.33 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $95.50 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $131.83 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $21.38 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $134.90 | $204.17 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $575.44 | Facility | None | $281.84 | $363.08 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $114.82 | $123.03 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $25.12 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $100.00 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $575.44 | Facility | None | $213.80 | $363.08 | $575.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $257.04 | Professional | None (both parts) | $114.82 | $120.23 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $25.12 | $38.02 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $93.33 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $77.62 | $114.82 | $162.18 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $120.23 | $120.23 | $269.15 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $23.99 | $40.74 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $95.50 | $223.87 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $109.65 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $52.48 | Professional | 26 · Professional part | $17.78 | $23.99 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $125.89 | $223.87 |
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 $57.54 Median $57.54 Typical High $199.53 | Professional | 52 · Reduced service | $57.54 | $57.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $79.43 | Professional | 53 · Discontinued | $22.91 | $22.91 | $79.43 |
Where Ohio sits
The same service costs 3.3 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· 35th of 51
$145
AK $316UT $95.50
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.