How much rates vary
Facilitymedian $776 · 10th to 90th $479 to $1,349Professionalmedian $380 · 10th to 90th $79 to $692
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 $776.25 Typical High $1,412.54 | Facility | None | $537.03 | $776.25 | $1,412.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $194.98 | Facility | 26 · Professional part | $69.18 | $104.71 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $676.08 Typical High $1,230.27 | Facility | TC · Technical part | $416.87 | $676.08 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $416.87 Typical High $954.99 | Professional | None (both parts) | $407.38 | $416.87 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $53.70 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $346.74 | $363.08 | $724.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $380.19 | $380.19 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $66.07 | $85.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $512.86 | Professional | None (both parts) | $144.54 | $173.78 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $45.71 | $53.70 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $457.09 | Professional | TC · Technical part | $93.33 | $123.03 | $457.09 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $891.25 | Professional | None (both parts) | $398.11 | $575.44 | $891.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $52.48 | $398.11 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $323.59 | $426.58 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $66.07 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $257.04 | $371.54 | $741.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $1,288.25 | Facility | None | $467.74 | $870.96 | $1,288.25 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $323.59 | $426.58 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $51.29 | $100.00 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $363.08 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $64.57 | $398.11 | $691.83 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $416.87 | $467.74 | $616.60 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $57.54 | $91.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $371.54 | $407.38 | $549.54 |
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 $416.87 Typical High $1,000.00 | Professional | None (both parts) | $181.97 | $416.87 | $1,000.00 |
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 $138.04 Median $354.81 Typical High $870.96 | Professional | TC · Technical part | $138.04 | $354.81 | $870.96 |
3 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 $208.93 Median $208.93 Typical High $346.74 | Professional | 52 · Reduced service | $208.93 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | 53 · Discontinued | $83.18 | $83.18 | $138.04 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 59 · Distinct service | $389.05 | $389.05 | $389.05 |
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
$380
AK $933NM $309
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.