How much rates vary
Facilitymedian $295 · 10th to 90th $162 to $417Professionalmedian $117 · 10th to 90th $68 to $219
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 $144.54 Median $302.00 Typical High $398.11 | Facility | None | $144.54 | $302.00 | $398.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $158.49 Typical High $208.93 | Facility | 26 · Professional part | $74.13 | $158.49 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $194.98 | Facility | TC · Technical part | $69.18 | $147.91 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $398.11 | Professional | None (both parts) | $109.65 | $109.65 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $208.93 | Professional | 26 · Professional part | $57.54 | $57.54 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $53.70 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $120.23 | $169.82 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $66.07 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $104.71 | $162.18 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $416.87 | Facility | None | $162.18 | $213.80 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $114.82 | $120.23 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $60.26 | $158.49 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $478.63 | Facility | None | $177.83 | $251.19 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $114.82 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $114.82 | $117.49 | $269.15 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $61.66 | $173.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $56.23 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $58.88 | $91.20 | $138.04 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $120.23 | $120.23 | $229.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $61.66 | $61.66 | $91.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $58.88 | $112.20 |
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 $154.88 Typical High $269.15 | Professional | None (both parts) | $107.15 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $63.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $93.33 | $151.36 |
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 $54.95 Median $54.95 Typical High $346.74 | Professional | 52 · Reduced service | $54.95 | $54.95 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $138.04 | Professional | 53 · Discontinued | $21.88 | $21.88 | $138.04 |
Where Ohio sits
The same service costs 4.6 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· 47th of 51
$117
AK $316UT $69.18
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.