How much rates vary
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 $416.87 Median $1,122.02 Typical High $2,344.23 | Facility | None | $416.87 | $1,122.02 | $2,344.23 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $208.93 Median $478.63 Typical High $630.96 | Facility | 52 · Reduced service | $208.93 | $478.63 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $190.55 Typical High $251.19 | Facility | 53 · Discontinued | $83.18 | $190.55 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $389.05 | $416.87 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $83.18 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $602.56 | $1,023.29 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,862.09 | Facility | None | $1,047.13 | $1,148.15 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,949.84 | Facility | None | $891.25 | $1,258.93 | $1,949.84 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
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 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $95.50 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $1,122.02 | Professional | TC · Technical part | $204.17 | $223.87 | $1,122.02 |
Where Ohio sits
The same service costs 13.8 times more in Virginia than in Montana. 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· 21st of 51
$417
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.