How much rates vary
Facilitymedian $288 · 10th to 90th $178 to $389Professionalmedian $95 · 10th to 90th $59 to $182
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 $134.90 Median $288.40 Typical High $389.05 | Facility | None | $134.90 | $288.40 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $131.83 Typical High $169.82 | Facility | 26 · Professional part | $63.10 | $131.83 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $158.49 Typical High $213.80 | Facility | TC · Technical part | $72.44 | $158.49 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $316.23 | Professional | None (both parts) | $104.71 | $104.71 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $138.04 | Professional | 26 · Professional part | $47.86 | $47.86 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $57.54 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $60.26 | $83.18 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $51.29 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $81.28 | Professional | TC · Technical part | $29.51 | $34.67 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $93.33 | $123.03 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $58.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $66.07 | $128.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $93.33 | $123.03 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $61.66 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $66.07 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $54.95 | $91.20 | $177.83 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $107.15 | $117.49 | $138.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $52.48 | $64.57 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $66.07 | $75.86 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Facility | None | $275.42 | $316.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $72.44 | $117.49 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $54.95 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $30.20 | $64.57 | $144.54 |
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 $52.48 Median $52.48 Typical High $114.82 | Professional | 52 · Reduced service | $52.48 | $52.48 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $45.71 | Professional | 53 · Discontinued | $20.89 | $20.89 | $45.71 |
Where Ohio sits
The same service costs 3.9 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· 48th of 51
$95.50
AK $282TX $72.44
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.