How much rates vary
Facilitymedian $646 · 10th to 90th $324 to $1,096Professionalmedian $257 · 10th to 90th $174 to $447
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 $245.47 Median $478.63 Typical High $870.96 | Facility | None | $245.47 | $478.63 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $194.98 | Facility | 26 · Professional part | $52.48 | $102.33 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $363.08 Typical High $691.83 | Facility | TC · Technical part | $190.55 | $363.08 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $831.76 | Professional | None (both parts) | $245.47 | $263.03 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $177.83 | Professional | 26 · Professional part | $52.48 | $60.26 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $190.55 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $199.53 | $338.84 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $208.93 | $245.47 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $93.33 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $147.91 | $269.15 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $218.78 | $309.03 | $489.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $51.29 | $194.98 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $1,096.48 | Facility | None | $575.44 | $724.44 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $251.19 | $263.03 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $57.54 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $208.93 | $436.52 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $407.38 Median $676.08 Typical High $1,348.96 | Facility | None | $407.38 | $676.08 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $602.56 | Professional | None (both parts) | $251.19 | $263.03 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $181.97 | Professional | 26 · Professional part | $54.95 | $67.61 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $204.17 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $46.77 | $245.47 | $389.05 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $251.19 | $275.42 | $478.63 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $60.26 | $120.23 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $218.78 | $295.12 |
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 $239.88 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $239.88 | $331.13 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $79.43 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $186.21 | $251.19 | $446.68 |
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 $123.03 Median $123.03 Typical High $467.74 | Professional | 52 · Reduced service | $123.03 | $123.03 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $186.21 | Professional | 53 · Discontinued | $48.98 | $48.98 | $186.21 |
Where Ohio sits
The same service costs 3.3 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· 46th of 51
$257
MN $676UT $204
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.