How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,259 to $3,548Professionalmedian $1,000 · 10th to 90th $162 to $1,549
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 $1,071.52 Median $2,344.23 Typical High $3,548.13 | Facility | None | $1,071.52 | $2,344.23 | $3,548.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $346.74 Typical High $467.74 | Facility | 26 · Professional part | $138.04 | $346.74 | $467.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,995.26 Typical High $3,090.30 | Facility | TC · Technical part | $933.25 | $1,995.26 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,071.52 Typical High $2,951.21 | Professional | None (both parts) | $1,023.29 | $1,071.52 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $138.04 Typical High $389.05 | Professional | 26 · Professional part | $128.82 | $138.04 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $933.25 Typical High $1,584.89 | Professional | TC · Technical part | $870.96 | $933.25 | $1,584.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,548.82 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $109.65 | $128.82 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $933.25 Typical High $1,348.96 | Professional | TC · Technical part | $794.33 | $933.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,096.48 Typical High $2,187.76 | Professional | None (both parts) | $676.08 | $1,096.48 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $102.33 | $144.54 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $977.24 Typical High $1,905.46 | Professional | TC · Technical part | $575.44 | $977.24 | $1,905.46 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,479.11 Median $4,365.16 Typical High $9,120.11 | Facility | None | $1,479.11 | $4,365.16 | $9,120.11 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,096.48 Typical High $2,187.76 | Professional | None (both parts) | $676.08 | $1,096.48 | $2,187.76 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $102.33 | $144.54 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $954.99 Typical High $1,905.46 | Professional | TC · Technical part | $575.44 | $954.99 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $131.83 | $851.14 | $1,445.44 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $891.25 Median $977.24 Typical High $1,258.93 | Professional | None (both parts) | $891.25 | $977.24 | $1,258.93 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $112.20 | $123.03 | $158.49 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $1,096.48 | Professional | TC · Technical part | $776.25 | $851.14 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,951.21 | Facility | None | $1,778.28 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,047.13 Typical High $2,137.96 | Professional | None (both parts) | $794.33 | $1,047.13 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $302.00 | Professional | 26 · Professional part | $109.65 | $134.90 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $912.01 Typical High $1,905.46 | Professional | TC · Technical part | $676.08 | $912.01 | $1,905.46 |
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 $478.63 Median $537.03 Typical High $954.99 | Professional | 52 · Reduced service | $478.63 | $537.03 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $213.80 Typical High $380.19 | Professional | 53 · Discontinued | $190.55 | $213.80 | $380.19 |
Where Ohio sits
The same service costs 2.9 times more in Alaska 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· 43rd of 51
$1,023
AK $2,138TX $741
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.