How much rates vary
Facilitymedian $389 · 10th to 90th $214 to $617Professionalmedian $145 · 10th to 90th $78 to $257
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 $120.23 Median $354.81 Typical High $426.58 | Facility | None | $120.23 | $354.81 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $70.79 Typical High $87.10 | Facility | 26 · Professional part | $23.99 | $70.79 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $281.84 Typical High $346.74 | Facility | TC · Technical part | $97.72 | $281.84 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $426.58 | Professional | None (both parts) | $117.49 | $120.23 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $87.10 | Professional | 26 · Professional part | $23.99 | $23.99 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $85.11 | $97.72 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $77.62 | $91.20 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $32.36 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $61.66 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $660.69 | Facility | None | $354.81 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $144.54 | $162.18 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $30.20 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $128.82 | $263.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $660.69 | Facility | None | $275.42 | $389.05 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $144.54 | $151.36 | $316.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $27.54 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $123.03 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $45.71 | $138.04 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $138.04 | $138.04 | $181.97 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $37.15 | $37.15 | $47.86 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $102.33 | $134.90 |
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 $131.83 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $131.83 | $177.83 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $28.84 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $109.65 | $147.91 | $281.84 |
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 $60.26 Median $60.26 Typical High $229.09 | Professional | 52 · Reduced service | $60.26 | $60.26 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $91.20 | Professional | 53 · Discontinued | $23.99 | $23.99 | $91.20 |
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· 46th of 51
$145
AK $407UT $117
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.