How much rates vary
Facilitymedian $363 · 10th to 90th $151 to $851Professionalmedian $117 · 10th to 90th $91 to $204
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 $109.65 Median $213.80 Typical High $380.19 | Facility | None | $109.65 | $213.80 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $38.90 Typical High $75.86 | Facility | 26 · Professional part | $20.89 | $38.90 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $169.82 Typical High $309.03 | Facility | TC · Technical part | $89.13 | $169.82 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $354.81 | Professional | None (both parts) | $109.65 | $128.82 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $22.91 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $239.88 | Professional | TC · Technical part | $89.13 | $100.00 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $85.11 | $91.20 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $15.85 | $20.42 | $33.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $77.62 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $100.00 | $117.49 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $23.44 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $79.43 | $93.33 | $144.54 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $97.72 | $112.20 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $19.50 | $91.20 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $354.81 Typical High $524.81 | Facility | None | $275.42 | $354.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $109.65 | $117.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $21.88 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $95.50 | $204.17 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $245.47 Median $524.81 Typical High $1,023.29 | Facility | None | $245.47 | $524.81 | $1,023.29 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $104.71 | $112.20 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $61.66 | Professional | 26 · Professional part | $19.95 | $21.88 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $89.13 | $204.17 |
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 $112.20 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $112.20 | $128.82 | $208.93 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $28.18 | $33.11 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $104.71 | $177.83 |
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 $102.33 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $102.33 | $144.54 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $22.91 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $123.03 | $208.93 |
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 $54.95 Median $54.95 Typical High $181.97 | Professional | 52 · Reduced service | $54.95 | $54.95 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $74.13 | Professional | 53 · Discontinued | $21.88 | $21.88 | $74.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 59 · Distinct service | $91.20 | $91.20 | $91.20 |
Where Ohio sits
The same service costs 4.0 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
$117
MN $380UT $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.