How much rates vary
Facilitymedian $661 · 10th to 90th $309 to $1,230Professionalmedian $234 · 10th to 90th $112 to $398
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 $288.40 Median $645.65 Typical High $851.14 | Facility | None | $288.40 | $645.65 | $851.14 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $181.97 Median $302.00 Typical High $537.03 | Facility | 26 · Professional part | $181.97 | $302.00 | $537.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $316.23 | Facility | TC · Technical part | $100.00 | $177.83 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $234.42 | $234.42 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $380.19 | Professional | 26 · Professional part | $147.91 | $147.91 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $85.11 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $239.88 | $269.15 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $141.25 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $199.53 | $234.42 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $120.23 | $141.25 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $95.50 | $144.54 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $316.23 | $489.78 | $489.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $79.43 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $79.43 | $173.78 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $204.17 | $288.40 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $186.21 Typical High $338.84 | Professional | 26 · Professional part | $128.82 | $186.21 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $107.15 | $218.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $3,467.37 | Facility | None | $660.69 | $1,230.27 | $3,467.37 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $204.17 | $302.00 | $562.34 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $239.88 Typical High $501.19 | Professional | 26 · Professional part | $128.82 | $239.88 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $104.71 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $91.20 | $190.55 | $354.81 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $251.19 | $269.15 | $346.74 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | 26 · Professional part | $162.18 | $162.18 | $213.80 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $93.33 | $104.71 | $128.82 |
United Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,258.93 | Facility | None | $758.58 | $891.25 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $223.87 | $269.15 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $389.05 | Professional | 26 · Professional part | $138.04 | $169.82 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $107.15 | $218.78 |
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 $117.49 Median $117.49 Typical High $194.98 | Professional | 52 · Reduced service | $117.49 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | 53 · Discontinued | $46.77 | $46.77 | $77.62 |
Where Ohio sits
The same service costs 3.3 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· 45th of 51
$234
AK $589TX $178
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.