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 $1,949.84 Median $3,548.13 Typical High $5,888.44 | Facility | None | $1,949.84 | $3,548.13 | $5,888.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $977.24 Median $1,778.28 Typical High $2,951.21 | Facility | 52 · Reduced service | $977.24 | $1,778.28 | $2,951.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $389.05 Median $707.95 Typical High $1,174.90 | Facility | 53 · Discontinued | $389.05 | $707.95 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $4,677.35 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $4,677.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $2,344.23 | Professional | 52 · Reduced service | $977.24 | $977.24 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $933.25 | Professional | 53 · Discontinued | $389.05 | $389.05 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.12 Typical High $3,090.30 | Professional | None (both parts) | $9.12 | $9.12 | $3,090.30 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $38,018.94 Typical High $67,608.30 | Professional | None (both parts) | $3,019.95 | $38,018.94 | $67,608.30 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $12,302.69 | Facility | None | $2,398.83 | $2,884.03 | $12,302.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $13,489.63 | Facility | None | $2,630.27 | $2,884.03 | $13,489.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,737.80 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $3,467.37 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $3,467.37 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,187.76 Typical High $3,715.35 | Facility | None | $891.25 | $2,187.76 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $3,467.37 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $3,467.37 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 26 · Professional part | $1,949.84 | $1,949.84 | $1,949.84 |
Where Ohio sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 51st of 51
$617
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.