How much rates vary
Facilitymedian $347 · 10th to 90th $158 to $562Professionalmedian $135 · 10th to 90th $98 to $234
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 $125.89 Median $223.87 Typical High $426.58 | Facility | None | $125.89 | $223.87 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $42.66 Typical High $81.28 | Facility | 26 · Professional part | $23.44 | $42.66 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $346.74 | Facility | TC · Technical part | $102.33 | $181.97 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $426.58 | Professional | None (both parts) | $120.23 | $128.82 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $74.13 | Professional | 26 · Professional part | $22.39 | $22.39 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $97.72 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $107.15 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $23.44 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $97.72 | $114.82 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $20.89 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $93.33 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $21.38 | $112.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $630.96 | Facility | None | $338.84 | $380.19 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $131.83 | $141.25 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $21.38 | $23.99 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $117.49 | $251.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $758.58 | Facility | None | $208.93 | $371.54 | $758.58 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $131.83 | $138.04 | $295.12 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $21.88 | $23.99 | $38.02 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $257.04 | Professional | TC · Technical part | $109.65 | $114.82 | $257.04 |
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 $125.89 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $125.89 | $147.91 | $223.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $26.92 | $40.74 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $120.23 | $181.97 |
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 $123.03 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $123.03 | $169.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $50.12 | Professional | 26 · Professional part | $16.98 | $23.44 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $151.36 | $257.04 |
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 $251.19 | Professional | 52 · Reduced service | $60.26 | $60.26 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $100.00 | Professional | 53 · Discontinued | $23.99 | $23.99 | $100.00 |
Where Ohio sits
The same service costs 3.7 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
$138
AK $355UT $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.