How much rates vary
Facilitymedian $224 · 10th to 90th $100 to $501Professionalmedian $98 · 10th to 90th $66 to $162
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 $75.86 Median $147.91 Typical High $269.15 | Facility | None | $75.86 | $147.91 | $269.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $23.44 Typical High $42.66 | Facility | 26 · Professional part | $11.75 | $23.44 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $229.09 | Facility | TC · Technical part | $64.57 | $125.89 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $223.87 | Professional | None (both parts) | $75.86 | $87.10 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $38.90 | Professional | 26 · Professional part | $11.48 | $12.30 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $181.97 | Professional | TC · Technical part | $64.57 | $67.61 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $100.00 | Professional | None (both parts) | $66.07 | $72.44 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $9.12 | $12.30 | $19.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $89.13 | $114.82 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.72 | $12.59 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $102.33 | $151.36 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $69.18 | $69.18 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $11.22 | $66.07 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $501.19 | Facility | None | $194.98 | $251.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $75.86 | $83.18 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $12.30 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $69.18 | $147.91 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $616.60 | Facility | None | $199.53 | $354.81 | $616.60 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $75.86 | $77.62 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $12.30 | $23.44 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $66.07 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $51.29 | $75.86 | $109.65 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $81.28 | $95.50 | $177.83 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $14.13 | $25.12 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $79.43 | $151.36 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Facility | None | $275.42 | $316.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $72.44 | $102.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $12.59 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $91.20 | $151.36 |
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 $38.02 Median $38.02 Typical High $74.13 | Professional | 52 · Reduced service | $38.02 | $38.02 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $29.51 | Professional | 53 · Discontinued | $15.14 | $15.14 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 59 · Distinct service | $61.66 | $61.66 | $61.66 |
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· 34th of 51
$97.72
AK $209UT $63.10
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.