How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,622 to $6,026Professionalmedian $1,622 · 10th to 90th $398 to $2,818
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 $1,621.81 Median $4,897.79 Typical High $6,025.60 | Facility | None | $1,621.81 | $4,897.79 | $6,025.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $316.23 Median $933.25 Typical High $1,122.02 | Facility | 26 · Professional part | $316.23 | $933.25 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,318.26 Median $3,981.07 Typical High $4,786.30 | Facility | TC · Technical part | $1,318.26 | $3,981.07 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $6,025.60 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $6,025.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $1,122.02 | Professional | 26 · Professional part | $316.23 | $316.23 | $1,122.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $2,454.71 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,288.25 Typical High $2,511.89 | Professional | None (both parts) | $1,096.48 | $1,288.25 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $309.03 Typical High $478.63 | Professional | 26 · Professional part | $263.03 | $309.03 | $478.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $1,995.26 | Professional | TC · Technical part | $812.83 | $977.24 | $1,995.26 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,995.26 Typical High $3,715.35 | Professional | None (both parts) | $1,412.54 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $389.05 Typical High $676.08 | Professional | 26 · Professional part | $269.15 | $389.05 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,659.59 Typical High $3,090.30 | Professional | TC · Technical part | $1,148.15 | $1,659.59 | $3,090.30 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,995.26 Typical High $3,467.37 | Professional | None (both parts) | $1,412.54 | $1,995.26 | $3,467.37 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $457.09 Typical High $954.99 | Professional | 26 · Professional part | $269.15 | $457.09 | $954.99 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,659.59 Typical High $2,754.23 | Professional | TC · Technical part | $1,148.15 | $1,659.59 | $2,754.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,621.81 Typical High $2,818.38 | Professional | None (both parts) | $323.59 | $1,621.81 | $2,818.38 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,905.46 Typical High $2,238.72 | Professional | None (both parts) | $1,737.80 | $1,905.46 | $2,238.72 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $426.58 | Professional | 26 · Professional part | $309.03 | $346.74 | $426.58 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,584.89 Typical High $1,819.70 | Professional | TC · Technical part | $1,412.54 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,778.28 Typical High $3,981.07 | Professional | None (both parts) | $1,096.48 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $346.74 Typical High $794.33 | Professional | 26 · Professional part | $269.15 | $346.74 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,445.44 Typical High $3,388.44 | Professional | TC · Technical part | $831.76 | $1,445.44 | $3,388.44 |
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 $812.83 Median $812.83 Typical High $1,778.28 | Professional | 52 · Reduced service | $812.83 | $812.83 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $707.95 | Professional | 53 · Discontinued | $323.59 | $323.59 | $707.95 |
Where Ohio sits
The same service costs 3.2 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
$1,622
AK $4,467TX $1,413
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.