How much rates vary
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 $562.34 Median $1,949.84 Typical High $2,238.72 | Facility | None | $562.34 | $1,949.84 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,949.84 | Professional | None (both parts) | $562.34 | $562.34 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $93.33 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | TC · Technical part | $467.74 | $467.74 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $501.19 | $630.96 | $912.01 |
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 $426.58 Median $549.54 Typical High $776.25 | Professional | TC · Technical part | $426.58 | $549.54 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $616.60 Typical High $1,288.25 | Professional | None (both parts) | $489.78 | $616.60 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $251.19 | Professional | 26 · Professional part | $70.79 | $100.00 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $1,047.13 | Professional | TC · Technical part | $416.87 | $512.86 | $1,047.13 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $489.78 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $489.78 | $616.60 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $251.19 | Professional | 26 · Professional part | $70.79 | $97.72 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $501.19 Typical High $1,023.29 | Professional | TC · Technical part | $416.87 | $501.19 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $97.72 | $416.87 | $724.44 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $446.68 | $501.19 | $616.60 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $83.18 | $102.33 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $371.54 | $416.87 | $524.81 |
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 $512.86 Median $645.65 Typical High $1,258.93 | Professional | None (both parts) | $512.86 | $645.65 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $114.82 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $562.34 Typical High $1,047.13 | Professional | TC · Technical part | $426.58 | $562.34 | $1,047.13 |
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 $275.42 Median $275.42 Typical High $549.54 | Professional | 52 · Reduced service | $275.42 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | 53 · Discontinued | $112.20 | $112.20 | $223.87 |
Where Ohio sits
The same service costs 3.3 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· 46th of 51
$537
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.