How much rates vary
Facilitymedian $76 · 10th to 90th $36 to $513Professionalmedian $37 · 10th to 90th $22 to $55
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $36.31 Typical High $112.20 | Facility | None | $36.31 | $36.31 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $85.11 | Professional | None (both parts) | $36.31 | $36.31 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $40.74 | Professional | 26 · Professional part | $13.80 | $13.80 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | TC · Technical part | $22.91 | $22.91 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $35.48 | $39.81 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $21.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $37.15 Typical High $52.48 | Professional | None (both parts) | $21.88 | $37.15 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $13.18 | $15.49 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $38.02 | Professional | TC · Technical part | $18.62 | $23.99 | $38.02 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $23.44 Typical High $45.71 | Professional | None (both parts) | $13.18 | $23.44 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $33.88 | $37.15 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $14.79 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $22.39 | $38.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $33.88 | $38.90 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $14.79 | $24.55 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $22.39 | $38.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $17.78 | $30.90 | $50.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $47.86 | Professional | None (both parts) | $36.31 | $41.69 | $47.86 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $19.05 | Professional | 26 · Professional part | $14.79 | $17.38 | $19.05 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $30.90 | Professional | TC · Technical part | $20.89 | $26.92 | $30.90 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $29.51 | $34.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $13.49 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $20.89 | $38.90 |
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 $42.66 | Professional | 52 · Reduced service | $18.20 | $18.20 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $17.38 | Professional | 53 · Discontinued | $7.24 | $7.24 | $17.38 |
Where Ohio sits
The same service costs 2.7 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· 45th of 51
$37.15
MN $83.18UT $30.90
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.