How much rates vary
Facilitymedian $955 · 10th to 90th $447 to $1,778Professionalmedian $355 · 10th to 90th $195 to $617
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 $346.74 Median $891.25 Typical High $1,148.15 | Facility | None | $346.74 | $891.25 | $1,148.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $117.49 Typical High $154.88 | Facility | 26 · Professional part | $42.66 | $117.49 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $1,023.29 | Facility | TC · Technical part | $302.00 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $346.74 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $154.88 | Professional | 26 · Professional part | $42.66 | $42.66 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $288.40 | $302.00 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $251.19 | $295.12 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $43.65 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $213.80 | $251.19 | $446.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $41.69 | $331.13 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $263.03 | $407.38 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $52.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $354.81 | $616.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $1,621.81 | Facility | None | $630.96 | $1,288.25 | $1,621.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $263.03 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $263.03 | $407.38 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $147.91 | Professional | 26 · Professional part | $37.15 | $61.66 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $354.81 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $41.69 | $380.19 | $616.60 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $346.74 | $389.05 | $457.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $45.71 | $58.88 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $338.84 | $398.11 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,951.21 | Facility | None | $1,778.28 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $794.33 | Professional | None (both parts) | $269.15 | $371.54 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $48.98 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $234.42 | $323.59 | $707.95 |
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 $173.78 Median $173.78 Typical High $346.74 | Professional | 52 · Reduced service | $173.78 | $173.78 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | 53 · Discontinued | $69.18 | $69.18 | $141.25 |
Where Ohio sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 38th of 51
$355
AK $813NM $275
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.