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 $426.58 Median $1,122.02 Typical High $2,344.23 | Facility | None | $426.58 | $1,122.02 | $2,344.23 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $213.80 Median $489.78 Typical High $630.96 | Facility | 52 · Reduced service | $213.80 | $489.78 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $194.98 Typical High $257.04 | Facility | 53 · Discontinued | $85.11 | $194.98 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $389.05 | $426.58 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $85.11 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $309.03 | $524.81 | $616.60 |
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 $512.86 Median $707.95 Typical High $1,548.82 | Professional | None (both parts) | $512.86 | $707.95 | $1,548.82 |
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 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $501.19 | $602.56 | $707.95 |
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 $1,148.15 | Professional | TC · Technical part | $204.17 | $223.87 | $1,148.15 |
Where Ohio sits
The same service costs 37.2 times more in Oklahoma 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· 16th of 51
$427
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.