How much rates vary
Facilitymedian $234 · 10th to 90th $83 to $295Professionalmedian $72 · 10th to 90th $33 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 $83.18 Median $229.09 Typical High $275.42 | Facility | None | $83.18 | $229.09 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $123.03 Typical High $151.36 | Facility | 26 · Professional part | $42.66 | $123.03 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $112.20 Typical High $134.90 | Facility | TC · Technical part | $40.74 | $112.20 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $229.09 | Professional | None (both parts) | $83.18 | $83.18 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $42.66 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $40.74 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $66.07 | $79.43 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $52.48 | $61.66 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $44.67 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.49 Typical High $53.70 | Professional | TC · Technical part | $11.48 | $13.49 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $66.07 | $97.72 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $51.29 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $43.65 | $79.43 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Facility | None | $239.88 | $239.88 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $66.07 | $89.13 | $154.88 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $51.29 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $44.67 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $53.70 Typical High $141.25 | Professional | None (both parts) | $28.84 | $53.70 | $141.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $81.28 | $89.13 | $109.65 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $44.67 | $58.88 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $39.81 | $44.67 | $54.95 |
United Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $436.52 | Facility | None | $263.03 | $309.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $199.53 | Professional | None (both parts) | $58.88 | $87.10 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $38.02 | $47.86 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $40.74 Typical High $93.33 | Professional | TC · Technical part | $21.38 | $40.74 | $93.33 |
3 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 $41.69 Median $41.69 Typical High $81.28 | Professional | 52 · Reduced service | $41.69 | $41.69 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $33.11 | Professional | 53 · Discontinued | $16.60 | $16.60 | $33.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 59 · Distinct service | $79.43 | $79.43 | $79.43 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$72.44
AK $219AL $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.