How much rates vary
Facilitymedian $219 · 10th to 90th $78 to $263Professionalmedian $79 · 10th to 90th $51 to $141
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 $77.62 Median $218.78 Typical High $263.03 | Facility | None | $77.62 | $218.78 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $104.71 Typical High $125.89 | Facility | 26 · Professional part | $34.67 | $104.71 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $117.49 Typical High $144.54 | Facility | TC · Technical part | $42.66 | $117.49 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $218.78 | Professional | None (both parts) | $77.62 | $77.62 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $34.67 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $42.66 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $56.23 | $77.62 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $37.15 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $40.74 | $67.61 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $64.57 | $95.50 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $30.20 | $42.66 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $34.67 | $53.70 | $91.20 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $208.93 | Facility | None | $100.00 | $100.00 | $208.93 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $64.57 | $91.20 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $52.48 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $34.67 | $53.70 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $43.65 | $85.11 | $141.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $79.43 | $87.10 | $102.33 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $38.02 | $38.02 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $39.81 | $48.98 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $190.55 | Professional | None (both parts) | $70.79 | $87.10 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $39.81 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $47.86 | $104.71 |
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 $38.90 Median $38.90 Typical High $64.57 | Professional | 52 · Reduced service | $38.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $25.70 | Professional | 53 · Discontinued | $15.49 | $15.49 | $25.70 |
Where Ohio sits
The same service costs 3.0 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· 44th of 51
$79.43
AK $204TX $67.61
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.