How much rates vary
Facilitymedian $166 · 10th to 90th $60 to $257Professionalmedian $68 · 10th to 90th $32 to $100
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 $60.26 Median $165.96 Typical High $257.04 | Facility | None | $60.26 | $165.96 | $257.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $56.23 Typical High $81.28 | Facility | 26 · Professional part | $20.42 | $56.23 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $109.65 Typical High $134.90 | Facility | TC · Technical part | $39.81 | $109.65 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $257.04 | Professional | None (both parts) | $60.26 | $60.26 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $81.28 | Professional | 26 · Professional part | $20.42 | $20.42 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $39.81 | $39.81 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $58.88 | $69.18 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $19.95 | $23.44 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $46.77 | $67.61 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | None (both parts) | $21.88 | $21.88 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $64.57 | $69.18 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $22.91 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $45.71 | $83.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $64.57 | $69.18 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $22.91 | $40.74 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $43.65 | $45.71 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $25.70 | $32.36 | $51.29 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $58.88 | $66.07 | $77.62 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $25.70 | Professional | 26 · Professional part | $19.95 | $21.88 | $25.70 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $43.65 | $51.29 |
United Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $199.53 | Facility | None | $120.23 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $60.26 | $70.79 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $22.91 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $85.11 | Professional | TC · Technical part | $40.74 | $47.86 | $85.11 |
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 $30.20 Median $30.20 Typical High $128.82 | Professional | 52 · Reduced service | $30.20 | $30.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $51.29 | Professional | 53 · Discontinued | $12.02 | $12.02 | $51.29 |
Where Ohio sits
The same service costs 4.9 times more in Nebraska 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· 41st of 51
$67.61
NE $155UT $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.