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 $489.78 Median $870.96 Typical High $1,445.44 | Facility | None | $489.78 | $870.96 | $1,445.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $245.47 Median $436.52 Typical High $724.44 | Facility | 52 · Reduced service | $245.47 | $436.52 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $173.78 Typical High $295.12 | Facility | 53 · Discontinued | $97.72 | $173.78 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $1,174.90 | Professional | None (both parts) | $489.78 | $489.78 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $575.44 | Professional | 52 · Reduced service | $245.47 | $245.47 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $234.42 | Professional | 53 · Discontinued | $97.72 | $97.72 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $758.58 | Professional | None (both parts) | $109.65 | $109.65 | $758.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $741.31 Median $9,549.93 Typical High $16,982.44 | Professional | None (both parts) | $741.31 | $9,549.93 | $16,982.44 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $3,090.30 | Facility | None | $588.84 | $707.95 | $3,090.30 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $645.65 Median $707.95 Typical High $3,388.44 | Facility | None | $645.65 | $707.95 | $3,388.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | None (both parts) | $416.87 | $416.87 | $426.58 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $512.86 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $512.86 | $741.31 | $851.14 |
United Setting Facility Modifier None Typical Low $218.78 Median $549.54 Typical High $912.01 | Facility | None | $218.78 | $549.54 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $870.96 | Professional | None (both parts) | $257.04 | $363.08 | $870.96 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $489.78 | $489.78 | $489.78 |
Where Ohio sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 50th of 51
$257
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.