How much rates vary
Facilitymedian $661 · 10th to 90th $389 to $1,230Professionalmedian $331 · 10th to 90th $79 to $589
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 $363.08 Median $660.69 Typical High $1,230.27 | Facility | None | $363.08 | $660.69 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $194.98 | Facility | 26 · Professional part | $54.95 | $104.71 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $562.34 Typical High $1,047.13 | Facility | TC · Technical part | $309.03 | $562.34 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $758.58 | Professional | None (both parts) | $363.08 | $363.08 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $53.70 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $616.60 | Professional | TC · Technical part | $295.12 | $309.03 | $616.60 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $338.84 | $338.84 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $54.95 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $467.74 | Professional | None (both parts) | $158.49 | $186.21 | $467.74 |
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 $114.82 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $114.82 | $134.90 | $380.19 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $776.25 | Professional | None (both parts) | $346.74 | $389.05 | $776.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $52.48 | $338.84 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $275.42 | $380.19 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $616.60 | Professional | TC · Technical part | $229.09 | $316.23 | $616.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $1,348.96 | Facility | None | $537.03 | $741.31 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $275.42 | $380.19 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $45.71 | $89.13 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $316.23 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $64.57 | $346.74 | $588.84 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $363.08 | $398.11 | $467.74 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $57.54 | $61.66 | $79.43 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $302.00 | $338.84 | $398.11 |
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 $181.97 Median $354.81 Typical High $831.76 | Professional | None (both parts) | $181.97 | $354.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $60.26 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $295.12 Typical High $707.95 | Professional | TC · Technical part | $134.90 | $295.12 | $707.95 |
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 $181.97 Median $181.97 Typical High $257.04 | Professional | 52 · Reduced service | $181.97 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | 53 · Discontinued | $72.44 | $72.44 | $104.71 |
Where Ohio sits
The same service costs 3.0 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
$331
AK $794NM $269
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.