How much rates vary
Facilitymedian $562 · 10th to 90th $234 to $1,023Professionalmedian $186 · 10th to 90th $135 to $324
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 $173.78 Median $338.84 Typical High $616.60 | Facility | None | $173.78 | $338.84 | $616.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $114.82 | Facility | 26 · Professional part | $32.36 | $61.66 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $501.19 | Facility | TC · Technical part | $141.25 | $269.15 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $537.03 | Professional | None (both parts) | $173.78 | $199.53 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $107.15 | Professional | 26 · Professional part | $31.62 | $34.67 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $151.36 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $134.90 | $144.54 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $32.36 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $158.49 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $35.48 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $151.36 | $229.09 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $154.88 | $154.88 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $30.20 | $141.25 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $1,071.52 | Facility | None | $426.58 | $549.54 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $169.82 | $186.21 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $151.36 | $316.23 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,122.02 | Facility | None | $467.74 | $741.31 | $1,122.02 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $169.82 | $177.83 | $371.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $95.50 | Professional | 26 · Professional part | $30.90 | $33.88 | $95.50 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $144.54 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $42.66 | $194.98 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $177.83 | $186.21 | $281.84 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $43.65 | $51.29 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $144.54 | $147.91 | $229.09 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $162.18 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $34.67 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $190.55 | $331.13 |
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 $87.10 Median $87.10 Typical High $257.04 | Professional | 52 · Reduced service | $87.10 | $87.10 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $102.33 | Professional | 53 · Discontinued | $34.67 | $34.67 | $102.33 |
Where Ohio sits
The same service costs 3.5 times more in Minnesota 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· 45th of 51
$186
MN $550UT $158
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.