How much rates vary
Facilitymedian $347 · 10th to 90th $182 to $741Professionalmedian $151 · 10th to 90th $98 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 $229.09 Typical High $416.87 | Facility | None | $120.23 | $229.09 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $39.81 Typical High $74.13 | Facility | 26 · Professional part | $20.89 | $39.81 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $346.74 | Facility | TC · Technical part | $100.00 | $190.55 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $346.74 | Professional | None (both parts) | $120.23 | $134.90 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $21.38 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $100.00 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $97.72 | $97.72 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $27.54 | Professional | 26 · Professional part | $20.42 | $22.39 | $27.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $144.54 | $177.83 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $23.44 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $120.23 | $154.88 | $229.09 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $112.20 | $112.20 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.95 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $19.95 | $102.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $741.31 | Facility | None | $309.03 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $120.23 | $131.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $21.38 | $22.39 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $107.15 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $758.58 | Facility | None | $302.00 | $489.78 | $758.58 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $120.23 | $123.03 | $263.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $21.88 | $39.81 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $102.33 | $229.09 |
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 $128.82 Median $134.90 Typical High $288.40 | Professional | None (both parts) | $128.82 | $134.90 | $288.40 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $22.91 | $45.71 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $112.20 | $239.88 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $114.82 | $158.49 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $22.91 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $93.33 | $138.04 | $234.42 |
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 $60.26 Median $60.26 Typical High $134.90 | Professional | 52 · Reduced service | $60.26 | $60.26 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $53.70 | Professional | 53 · Discontinued | $23.99 | $23.99 | $53.70 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 59 · Distinct service | $97.72 | $97.72 | $97.72 |
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· 36th of 51
$151
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.