How much rates vary
Facilitymedian $288 · 10th to 90th $126 to $490Professionalmedian $105 · 10th to 90th $62 to $162
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 $125.89 Median $288.40 Typical High $398.11 | Facility | None | $125.89 | $288.40 | $398.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $173.78 Typical High $223.87 | Facility | 26 · Professional part | $72.44 | $173.78 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $117.49 Typical High $173.78 | Facility | TC · Technical part | $48.98 | $117.49 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $275.42 | Professional | None (both parts) | $104.71 | $104.71 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $63.10 | $173.78 |
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 $120.23 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $120.23 | $120.23 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $60.26 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $75.86 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $58.88 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $46.77 | $72.44 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $144.54 | $144.54 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $40.74 | $72.44 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $93.33 | $131.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $77.62 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $39.81 | $56.23 | $109.65 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $724.44 | Facility | None | $223.87 | $354.81 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $93.33 | $147.91 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $53.70 | $104.71 | $213.80 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $39.81 | $56.23 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $54.95 | $85.11 | $134.90 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $117.49 | $117.49 | $151.36 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $67.61 | $87.10 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $51.29 | $63.10 |
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 $102.33 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $102.33 | $123.03 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $72.44 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $54.95 | $112.20 |
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 $107.15 | Professional | 52 · Reduced service | $52.48 | $52.48 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $42.66 | Professional | 53 · Discontinued | $20.89 | $20.89 | $42.66 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$105
AK $275UT $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.