How much rates vary
Facilitymedian $955 · 10th to 90th $501 to $1,380Professionalmedian $380 · 10th to 90th $120 to $708
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 $537.03 Median $1,047.13 Typical High $1,380.38 | Facility | None | $537.03 | $1,047.13 | $1,380.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $223.87 Typical High $288.40 | Facility | 26 · Professional part | $104.71 | $223.87 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $812.83 Typical High $1,096.48 | Facility | TC · Technical part | $426.58 | $812.83 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $977.24 | Professional | None (both parts) | $407.38 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $234.42 | Professional | 26 · Professional part | $81.28 | $81.28 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $316.23 | $323.59 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $120.23 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $218.78 | $257.04 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $85.11 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $154.88 | $426.58 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $457.09 Median $575.44 Typical High $891.25 | Professional | None (both parts) | $457.09 | $575.44 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $309.03 | $489.78 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $102.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $239.88 | $354.81 | $691.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $1,513.56 | Facility | None | $537.03 | $912.01 | $1,513.56 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $309.03 | $489.78 | $812.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $72.44 | $128.82 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $676.08 | Professional | TC · Technical part | $239.88 | $354.81 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $97.72 | $398.11 | $691.83 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $416.87 | $467.74 | $549.54 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $81.28 | $89.13 | $120.23 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $338.84 | $371.54 | $436.52 |
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 $245.47 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $245.47 | $416.87 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $93.33 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $169.82 | $323.59 | $758.58 |
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 $204.17 Median $204.17 Typical High $416.87 | Professional | 52 · Reduced service | $204.17 | $204.17 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $165.96 | Professional | 53 · Discontinued | $81.28 | $81.28 | $165.96 |
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
$380
AK $977NM $302
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.