How much rates vary
Facilitymedian $78 · 10th to 90th $18 to $126Professionalmedian $18 · 10th to 90th $12 to $28
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $18.20 Median $18.20 Typical High $102.33 | Facility | None | $18.20 | $18.20 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $102.33 | Professional | None (both parts) | $18.20 | $18.20 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $8.13 | $8.51 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | TC · Technical part | $9.77 | $9.77 | $9.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.02 Median $19.50 Typical High $25.70 | Professional | None (both parts) | $12.02 | $19.50 | $25.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $7.41 | $11.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.85 Typical High $19.50 | Professional | TC · Technical part | $12.02 | $15.85 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | None (both parts) | $15.14 | $17.78 | $21.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $9.55 | Professional | 26 · Professional part | $6.61 | $7.76 | $9.55 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $10.00 Typical High $12.30 | Professional | TC · Technical part | $8.51 | $10.00 | $12.30 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $125.89 | Facility | None | $77.62 | $89.13 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $19.05 Typical High $43.65 | Professional | None (both parts) | $15.85 | $19.05 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $20.42 | Professional | 26 · Professional part | $6.92 | $8.32 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.96 Typical High $22.91 | Professional | TC · Technical part | $8.32 | $10.96 | $22.91 |
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 $9.12 Median $9.12 Typical High $51.29 | Professional | 52 · Reduced service | $9.12 | $9.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $20.42 | Professional | 53 · Discontinued | $3.63 | $3.63 | $20.42 |
Where Ohio sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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
$18.20
WI $39.81NC $17.38
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.