How much rates vary
Facilitymedian $646 · 10th to 90th $347 to $1,000Professionalmedian $251 · 10th to 90th $178 to $417
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 $229.09 Median $467.74 Typical High $776.25 | Facility | None | $229.09 | $467.74 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $70.79 Typical High $123.03 | Facility | 26 · Professional part | $36.31 | $70.79 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $389.05 Typical High $645.65 | Facility | TC · Technical part | $190.55 | $389.05 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $776.25 | Professional | None (both parts) | $229.09 | $229.09 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $123.03 | Professional | 26 · Professional part | $36.31 | $36.31 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $190.55 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $229.09 | $229.09 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $213.80 | $251.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $38.90 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $181.97 | $213.80 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,096.48 | Facility | None | $588.84 | $758.58 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $223.87 | $251.19 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $208.93 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $1,584.89 | Facility | None | $489.78 | $831.76 | $1,584.89 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $229.09 | $245.47 | $457.09 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $38.02 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $204.17 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $44.67 | $245.47 | $389.05 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $239.88 | $239.88 | $363.08 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $38.02 | $57.54 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $204.17 | $204.17 | $309.03 |
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 $213.80 Median $257.04 Typical High $524.81 | Professional | None (both parts) | $213.80 | $257.04 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $39.81 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $446.68 | Professional | TC · Technical part | $181.97 | $218.78 | $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 $114.82 Median $114.82 Typical High $478.63 | Professional | 52 · Reduced service | $114.82 | $114.82 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $190.55 | Professional | 53 · Discontinued | $45.71 | $45.71 | $190.55 |
Where Ohio sits
The same service costs 3.1 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· 43rd of 51
$251
AK $631UT $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.