How much rates vary
Facilitymedian $158 · 10th to 90th $72 to $759Professionalmedian $59 · 10th to 90th $31 to $95
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 $58.88 Median $117.49 Typical High $199.53 | Facility | None | $58.88 | $117.49 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $95.50 | Facility | 26 · Professional part | $27.54 | $51.29 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $60.26 Typical High $109.65 | Facility | TC · Technical part | $33.11 | $60.26 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $275.42 | Professional | None (both parts) | $58.88 | $58.88 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $26.30 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $33.11 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $61.66 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $32.36 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $48.98 | $60.26 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $30.20 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $40.74 | $60.26 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | None (both parts) | $28.18 | $28.18 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $51.29 | $56.23 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $28.18 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $28.18 | $54.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $1,621.81 | Facility | None | $489.78 | $831.76 | $1,621.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $51.29 | $56.23 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $28.18 | $81.28 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $28.18 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $27.54 | $47.86 | $83.18 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $61.66 | $69.18 | $81.28 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $29.51 | $38.02 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $39.81 | $45.71 |
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 $45.71 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $45.71 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $26.30 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $23.44 | $28.84 | $51.29 |
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 $29.51 Median $29.51 Typical High $138.04 | Professional | 52 · Reduced service | $29.51 | $29.51 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $54.95 | Professional | 53 · Discontinued | $11.75 | $11.75 | $54.95 |
Where Ohio sits
The same service costs 3.6 times more in Minnesota than in Texas. 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
$58.88
MN $141TX $38.90
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.