How much rates vary
Facilitymedian $204 · 10th to 90th $74 to $251Professionalmedian $63 · 10th to 90th $41 to $135
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 $74.13 Median $204.17 Typical High $251.19 | Facility | None | $74.13 | $204.17 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $18.62 Median $54.95 Typical High $67.61 | Facility | 26 · Professional part | $18.62 | $54.95 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $151.36 Typical High $186.21 | Facility | TC · Technical part | $54.95 | $151.36 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $194.98 | Professional | None (both parts) | $74.13 | $74.13 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $18.62 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $50.12 | $54.95 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $26.92 | $51.29 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $18.20 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $81.28 | Professional | TC · Technical part | $20.89 | $28.18 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | None (both parts) | $20.42 | $20.42 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $57.54 | $63.10 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $19.05 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $43.65 | $102.33 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $57.54 | $63.10 | $131.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $17.38 | $19.05 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $43.65 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $77.62 | $97.72 | $154.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $100.00 | $109.65 | $128.82 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $20.89 | $22.91 | $26.92 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $87.10 | $102.33 |
United Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $436.52 | Facility | None | $263.03 | $309.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $42.66 | $58.88 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $17.78 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $40.74 | $79.43 |
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 $37.15 Median $37.15 Typical High $89.13 | Professional | 52 · Reduced service | $37.15 | $37.15 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $35.48 | Professional | 53 · Discontinued | $14.79 | $14.79 | $35.48 |
Where Ohio sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$63.10
ND $186KY $53.70
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.