How much rates vary
Facilitymedian $724 · 10th to 90th $468 to $1,072Professionalmedian $257 · 10th to 90th $166 to $437
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 $251.19 Median $707.95 Typical High $851.14 | Facility | None | $251.19 | $707.95 | $851.14 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $128.82 Typical High $158.49 | Facility | 26 · Professional part | $43.65 | $128.82 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $575.44 Typical High $707.95 | Facility | TC · Technical part | $208.93 | $575.44 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $758.58 | Professional | None (both parts) | $245.47 | $251.19 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $43.65 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $208.93 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $208.93 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $165.96 | $194.98 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $47.86 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $151.36 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,122.02 | Facility | None | $575.44 | $741.31 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $251.19 | $269.15 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $46.77 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $204.17 | $213.80 | $416.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $1,584.89 | Facility | None | $562.34 | $758.58 | $1,584.89 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $251.19 | $257.04 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $45.71 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $204.17 | $204.17 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $45.71 | $269.15 | $407.38 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $263.03 | $263.03 | $380.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $46.77 | $93.33 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $213.80 | $213.80 | $288.40 |
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 $223.87 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $223.87 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $47.86 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $234.42 | $478.63 |
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 $125.89 Median $125.89 Typical High $363.08 | Professional | 52 · Reduced service | $125.89 | $125.89 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $144.54 | Professional | 53 · Discontinued | $50.12 | $50.12 | $144.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 59 · Distinct service | $213.80 | $213.80 | $213.80 |
Where Ohio sits
The same service costs 3.0 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· 46th of 51
$257
AK $646UT $214
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.