How much rates vary
Facilitymedian $214 · 10th to 90th $120 to $257Professionalmedian $78 · 10th to 90th $46 to $138
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 $97.72 Median $213.80 Typical High $257.04 | Facility | None | $97.72 | $213.80 | $257.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $81.28 Typical High $104.71 | Facility | 26 · Professional part | $38.90 | $81.28 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $125.89 Typical High $158.49 | Facility | TC · Technical part | $58.88 | $125.89 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $257.04 | Professional | None (both parts) | $77.62 | $77.62 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $104.71 | Professional | 26 · Professional part | $29.51 | $29.51 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $46.77 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $43.65 | $60.26 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $29.51 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $63.10 | Professional | TC · Technical part | $23.99 | $28.18 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $63.10 | $91.20 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $25.12 | $36.31 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $100.00 | Professional | TC · Technical part | $38.02 | $53.70 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $63.10 | $91.20 | $154.88 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $36.31 | $60.26 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $53.70 | $97.72 |
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 $75.86 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $75.86 | $83.18 | $104.71 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $32.36 | $41.69 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $51.29 | $64.57 |
United Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $199.53 | Facility | None | $120.23 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $190.55 | Professional | None (both parts) | $56.23 | $83.18 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $33.11 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $51.29 Typical High $114.82 | Professional | TC · Technical part | $29.51 | $51.29 | $114.82 |
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 $38.02 Median $38.02 Typical High $83.18 | Professional | 52 · Reduced service | $38.02 | $38.02 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $33.11 | Professional | 53 · Discontinued | $15.49 | $15.49 | $33.11 |
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· 46th of 51
$77.62
AK $204TX $69.18
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.