How much rates vary
Facilitymedian $316 · 10th to 90th $170 to $468Professionalmedian $117 · 10th to 90th $93 to $214
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 $138.04 Median $316.23 Typical High $407.38 | Facility | None | $138.04 | $316.23 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $83.18 | Facility | 26 · Professional part | $27.54 | $44.67 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $323.59 | Facility | TC · Technical part | $117.49 | $181.97 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $407.38 | Professional | None (both parts) | $114.82 | $123.03 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $75.86 | Professional | 26 · Professional part | $21.38 | $22.39 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $91.20 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $93.33 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $15.85 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $147.91 | Professional | TC · Technical part | $79.43 | $93.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $524.81 | Facility | None | $281.84 | $354.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $112.20 | $123.03 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $20.42 | $23.99 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $97.72 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $724.44 | Facility | None | $223.87 | $363.08 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $112.20 | $120.23 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $23.99 | $37.15 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $93.33 | $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 $117.49 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $117.49 | $123.03 | $213.80 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $23.44 | $23.99 | $31.62 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $97.72 | $186.21 |
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 $107.15 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $107.15 | $141.25 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.91 Typical High $51.29 | Professional | 26 · Professional part | $13.49 | $22.91 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $128.82 | $223.87 |
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 $57.54 Median $57.54 Typical High $213.80 | Professional | 52 · Reduced service | $57.54 | $57.54 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $85.11 | Professional | 53 · Discontinued | $22.91 | $22.91 | $85.11 |
Where Ohio sits
The same service costs 3.2 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
$120
AK $302UT $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.