How much rates vary
Facilitymedian $269 · 10th to 90th $138 to $417Professionalmedian $81 · 10th to 90th $43 to $178
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 $123.03 Median $229.09 Typical High $323.59 | Facility | None | $123.03 | $229.09 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $91.20 Typical High $114.82 | Facility | 26 · Professional part | $42.66 | $91.20 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $134.90 Typical High $213.80 | Facility | TC · Technical part | $64.57 | $134.90 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $281.84 | Professional | None (both parts) | $97.72 | $97.72 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $109.65 | Professional | 26 · Professional part | $32.36 | $32.36 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $64.57 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $120.23 | Professional | None (both parts) | $42.66 | $50.12 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $35.48 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.85 Typical High $75.86 | Professional | TC · Technical part | $11.75 | $15.85 | $75.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $31.62 | $72.44 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $72.44 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $39.81 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $56.23 Typical High $125.89 | Professional | TC · Technical part | $33.88 | $56.23 | $125.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $954.99 | Facility | None | $323.59 | $416.87 | $954.99 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $72.44 | $100.00 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $27.54 | $46.77 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $123.03 | Professional | TC · Technical part | $39.81 | $56.23 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $43.65 | $97.72 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $123.03 | Professional | None (both parts) | $93.33 | $104.71 | $123.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $34.67 | $46.77 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $63.10 | $69.18 | $81.28 |
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 $47.86 Median $93.33 Typical High $223.87 | Professional | None (both parts) | $47.86 | $93.33 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $37.15 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $17.78 | $54.95 | $147.91 |
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 $47.86 Median $47.86 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $47.86 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $41.69 | Professional | 53 · Discontinued | $19.50 | $19.50 | $41.69 |
Where Ohio sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$81.28
AK $229KY $64.57
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.