How much rates vary
Facilitymedian $316 · 10th to 90th $209 to $417Professionalmedian $110 · 10th to 90th $51 to $204
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 $144.54 Median $316.23 Typical High $407.38 | Facility | None | $144.54 | $316.23 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $117.49 Typical High $154.88 | Facility | 26 · Professional part | $54.95 | $117.49 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $194.98 Typical High $257.04 | Facility | TC · Technical part | $89.13 | $194.98 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $380.19 | Professional | None (both parts) | $114.82 | $114.82 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $144.54 | Professional | 26 · Professional part | $42.66 | $42.66 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $70.79 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $64.57 | Professional | 26 · Professional part | $56.23 | $60.26 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $74.13 | $104.71 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $44.67 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $104.71 | Professional | TC · Technical part | $53.70 | $83.18 | $104.71 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $97.72 | $144.54 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $51.29 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $61.66 | $87.10 | $199.53 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $645.65 | Facility | None | $309.03 | $363.08 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $97.72 | $128.82 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $12.88 | $53.70 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $61.66 | $87.10 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $93.33 Typical High $190.55 | Professional | None (both parts) | $41.69 | $93.33 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $109.65 | $120.23 | $181.97 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $44.67 | $63.10 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $75.86 | $114.82 |
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 $97.72 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $97.72 | $138.04 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $48.98 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $93.33 | $186.21 |
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 $57.54 Median $57.54 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $57.54 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $48.98 | Professional | 53 · Discontinued | $22.91 | $22.91 | $48.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
Where Ohio sits
The same service costs 3.2 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· 47th of 51
$110
AK $302TX $93.33
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.