How much rates vary
Facilitymedian $1,622 · 10th to 90th $513 to $2,951Professionalmedian $501 · 10th to 90th $117 to $851
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 $512.86 Median $1,412.54 Typical High $1,737.80 | Facility | None | $512.86 | $1,412.54 | $1,737.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $331.13 Typical High $398.11 | Facility | 26 · Professional part | $112.20 | $331.13 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $1,122.02 Typical High $1,348.96 | Facility | TC · Technical part | $398.11 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $1,737.80 | Professional | None (both parts) | $512.86 | $512.86 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $398.11 | Professional | 26 · Professional part | $112.20 | $112.20 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $398.11 | $398.11 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 26 · Professional part | $117.49 | $117.49 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $457.09 | $457.09 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $97.72 | $114.82 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $575.44 | Professional | TC · Technical part | $295.12 | $346.74 | $575.44 |
CareSource Setting Professional Modifier None (both parts) Typical Low $109.65 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $109.65 | $457.09 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $1,148.15 | Professional | None (both parts) | $398.11 | $630.96 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $138.04 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $302.00 | $478.63 | $812.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $3,715.35 | Facility | None | $912.01 | $1,905.46 | $3,715.35 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $630.96 | $1,023.29 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $177.83 Typical High $407.38 | Professional | 26 · Professional part | $102.33 | $177.83 | $407.38 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $302.00 | $478.63 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $97.72 | $457.09 | $794.33 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $676.08 | Professional | None (both parts) | $512.86 | $575.44 | $676.08 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $120.23 | $147.91 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $457.09 Typical High $524.81 | Professional | TC · Technical part | $407.38 | $457.09 | $524.81 |
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 $416.87 Median $562.34 Typical High $1,202.26 | Professional | None (both parts) | $416.87 | $562.34 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $288.40 | Professional | 26 · Professional part | $102.33 | $128.82 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $954.99 | Professional | TC · Technical part | $309.03 | $426.58 | $954.99 |
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 $257.04 Median $257.04 Typical High $537.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $213.80 | Professional | 53 · Discontinued | $102.33 | $102.33 | $213.80 |
Where Ohio sits
The same service costs 3.1 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· 44th of 51
$501
AK $1,259TX $407
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.