How much rates vary
Facilitymedian $240 · 10th to 90th $48 to $832Professionalmedian $50 · 10th to 90th $30 to $81
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 $36.31 Median $81.28 Typical High $186.21 | Facility | None | $36.31 | $81.28 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $19.05 Typical High $42.66 | Facility | 26 · Professional part | $9.77 | $19.05 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $50.12 Typical High $117.49 | Facility | TC · Technical part | $26.30 | $50.12 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $117.49 | Professional | None (both parts) | $36.31 | $36.31 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $33.11 | Professional | 26 · Professional part | $9.77 | $9.77 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $26.30 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $46.77 | Professional | None (both parts) | $36.31 | $40.74 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $12.02 | Professional | 26 · Professional part | $8.51 | $10.00 | $12.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $48.98 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $15.49 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $42.66 | $63.10 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $81.28 | Professional | None (both parts) | $36.31 | $36.31 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.55 Median $26.92 Typical High $45.71 | Professional | None (both parts) | $9.55 | $26.92 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $44.67 | $54.95 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $12.88 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $42.66 | $67.61 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $870.96 | Facility | None | $302.00 | $501.19 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $33.11 | $50.12 | $91.20 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $30.20 | Professional | 26 · Professional part | $9.12 | $12.88 | $30.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $42.66 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $24.55 | $31.62 | $50.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $67.61 | Professional | None (both parts) | $42.66 | $50.12 | $67.61 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $12.30 | $19.05 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $37.15 | $52.48 |
United Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,258.93 | Facility | None | $758.58 | $891.25 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $42.66 | $52.48 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $12.88 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $39.81 | $69.18 |
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 $18.20 Median $18.20 Typical High $58.88 | Professional | 52 · Reduced service | $18.20 | $18.20 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $23.44 | Professional | 53 · Discontinued | $7.24 | $7.24 | $23.44 |
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· 39th of 51
$50.12
MN $105UT $31.62
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.