How much rates vary
Facilitymedian $832 · 10th to 90th $417 to $1,096Professionalmedian $302 · 10th to 90th $79 to $550
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 $416.87 Median $831.76 Typical High $1,096.48 | Facility | None | $416.87 | $831.76 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $147.91 Typical High $194.98 | Facility | 26 · Professional part | $69.18 | $147.91 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $676.08 Typical High $912.01 | Facility | TC · Technical part | $331.13 | $676.08 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $1,023.29 | Professional | None (both parts) | $323.59 | $323.59 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $181.97 | Professional | 26 · Professional part | $53.70 | $53.70 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $269.15 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $169.82 | $204.17 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $53.70 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $346.74 | Professional | TC · Technical part | $104.71 | $131.83 | $346.74 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $457.09 | $524.81 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $251.19 | $389.05 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $66.07 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $309.03 | $616.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $354.81 Median $794.33 Typical High $1,258.93 | Facility | None | $354.81 | $794.33 | $1,258.93 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $251.19 | $389.05 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $45.71 | $100.00 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $204.17 | $309.03 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $64.57 | $316.23 | $537.03 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $338.84 | $371.54 | $457.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $58.88 | $74.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $389.05 | Professional | TC · Technical part | $281.84 | $309.03 | $389.05 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $199.53 | $346.74 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $60.26 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $151.36 | $288.40 | $660.69 |
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 $162.18 Median $162.18 Typical High $331.13 | Professional | 52 · Reduced service | $162.18 | $162.18 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $134.90 | Professional | 53 · Discontinued | $64.57 | $64.57 | $134.90 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$302
AK $776NM $240
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.