How much rates vary
Facilitymedian $427 · 10th to 90th $209 to $741Professionalmedian $186 · 10th to 90th $132 to $316
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 $162.18 Median $407.38 Typical High $524.81 | Facility | None | $162.18 | $407.38 | $524.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $63.10 Typical High $83.18 | Facility | 26 · Professional part | $25.12 | $63.10 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $436.52 | Facility | TC · Technical part | $138.04 | $239.88 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $524.81 | Professional | None (both parts) | $147.91 | $147.91 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $83.18 | Professional | 26 · Professional part | $22.91 | $22.91 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $354.81 | Professional | TC · Technical part | $123.03 | $123.03 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $128.82 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $23.99 | $35.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $177.83 | $218.78 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $26.30 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $190.55 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $741.31 | Facility | None | $380.19 | $489.78 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $147.91 | $162.18 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $24.55 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $134.90 | $281.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $794.33 | Facility | None | $338.84 | $537.03 | $794.33 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $147.91 | $151.36 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $23.99 | $43.65 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $128.82 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $104.71 | $151.36 | $218.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $158.49 | $158.49 | $354.81 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $24.55 | $52.48 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $134.90 | $302.00 |
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 $141.25 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $141.25 | $194.98 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $25.12 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $169.82 | $288.40 |
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 $74.13 Median $74.13 Typical High $323.59 | Professional | 52 · Reduced service | $74.13 | $74.13 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $128.82 | Professional | 53 · Discontinued | $29.51 | $29.51 | $128.82 |
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· 37th of 51
$191
AK $417UT $126
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.