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 $19.95 Median $37.15 Typical High $77.62 | Facility | None | $19.95 | $37.15 | $77.62 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $18.62 Typical High $38.90 | Facility | 52 · Reduced service | $10.00 | $18.62 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.41 Typical High $15.49 | Facility | 53 · Discontinued | $3.98 | $7.41 | $15.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $151.36 | Professional | None (both parts) | $19.95 | $19.95 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $75.86 | Professional | 52 · Reduced service | $10.00 | $10.00 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $30.20 | Professional | 53 · Discontinued | $3.98 | $3.98 | $30.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $31.62 | $74.13 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $30.90 | $389.05 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $30.20 Typical High $102.33 | Facility | None | $24.55 | $30.20 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $33.11 | Professional | None (both parts) | $14.79 | $14.79 | $33.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $102.33 | Facility | None | $26.92 | $30.90 | $102.33 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.79 | $14.79 | $14.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $17.78 | Professional | None (both parts) | $16.98 | $16.98 | $17.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $21.38 | $30.90 | $34.67 |
United Setting Facility Modifier None Typical Low $8.91 Median $22.39 Typical High $37.15 | Facility | None | $8.91 | $22.39 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $15.14 Typical High $35.48 | Professional | None (both parts) | $10.47 | $15.14 | $35.48 |
1 more rate 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 $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Where Ohio sits
The same service costs 8.3 times more in Texas than in Maine. 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· 2nd of 51
$63.10
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.