How much rates vary
Facilitymedian $363 · 10th to 90th $214 to $575Professionalmedian $126 · 10th to 90th $91 to $200
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 $125.89 Median $331.13 Typical High $426.58 | Facility | None | $125.89 | $331.13 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $63.10 Typical High $83.18 | Facility | 26 · Professional part | $23.99 | $63.10 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $269.15 Typical High $346.74 | Facility | TC · Technical part | $97.72 | $269.15 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $331.13 | Professional | None (both parts) | $120.23 | $120.23 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $22.91 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $97.72 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $95.50 | $138.04 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $91.20 | $107.15 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $13.18 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $93.33 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | None (both parts) | $23.99 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $645.65 | Facility | None | $346.74 | $389.05 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $134.90 | $141.25 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $24.55 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $117.49 | $269.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $851.14 | Facility | None | $251.19 | $380.19 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $134.90 | $141.25 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $20.89 | $24.55 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $117.49 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $74.13 | $95.50 | $154.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $125.89 | $125.89 | $147.91 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $23.44 | $26.92 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $102.33 | $102.33 | $120.23 |
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 $123.03 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $123.03 | $165.96 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $20.89 Typical High $38.90 | Professional | 26 · Professional part | $11.22 | $20.89 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $144.54 | $223.87 |
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 $60.26 Median $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $23.99 | $29.51 |
Where Ohio sits
The same service costs 3.7 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· 46th of 51
$126
AK $363UT $97.72
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.