How much rates vary
Facilitymedian $417 · 10th to 90th $151 to $550Professionalmedian $123 · 10th to 90th $66 to $234
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 $151.36 Median $416.87 Typical High $549.54 | Facility | None | $151.36 | $416.87 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $213.80 Typical High $275.42 | Facility | 26 · Professional part | $77.62 | $213.80 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $199.53 Typical High $281.84 | Facility | TC · Technical part | $72.44 | $199.53 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $501.19 | Professional | None (both parts) | $151.36 | $151.36 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $77.62 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $72.44 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $66.07 | $109.65 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $77.62 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $89.13 | Professional | TC · Technical part | $26.92 | $31.62 | $89.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $67.61 | $104.71 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $131.83 | $173.78 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $93.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $64.57 | $79.43 | $162.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $75.86 Median $239.88 Typical High $380.19 | Facility | None | $75.86 | $239.88 | $380.19 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $131.83 | $173.78 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $66.07 | $97.72 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $64.57 | $79.43 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $61.66 | $117.49 | $223.87 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $144.54 | $158.49 | $199.53 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $74.13 | $83.18 | $102.33 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $70.79 | $77.62 | $91.20 |
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 $100.00 Median $165.96 Typical High $371.54 | Professional | None (both parts) | $100.00 | $165.96 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $67.61 | $87.10 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $32.36 | $83.18 | $186.21 |
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 $74.13 Median $74.13 Typical High $162.18 | Professional | 52 · Reduced service | $74.13 | $74.13 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $64.57 | Professional | 53 · Discontinued | $30.20 | $30.20 | $64.57 |
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
$123
AK $398TX $102
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.