How much rates vary
Facilitymedian $295 · 10th to 90th $263 to $1,148Professionalmedian $295 · 10th to 90th $219 to $417
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 $263.03 Median $295.12 Typical High $295.12 | Facility | None | $263.03 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $275.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $257.04 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $75.86 | $89.13 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $177.83 | $208.93 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $128.82 | $128.82 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $245.47 | $269.15 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $112.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $158.49 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $245.47 | $269.15 | $436.52 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $102.33 | $112.20 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $158.49 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $50.12 Typical High $67.61 | Professional | None (both parts) | $11.48 | $50.12 | $67.61 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $50.12 | $70.79 | $70.79 |
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 $223.87 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $223.87 | $281.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $107.15 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $165.96 | $281.84 |
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 $138.04 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $54.95 | $58.88 | $58.88 |
Where Ohio sits
The same service costs 9.8 times more in Alaska than in New York. 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· 37th of 51
$295
AK $631NY $64.57
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.