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 $724.44 Median $1,230.27 Typical High $2,238.72 | Facility | None | $724.44 | $1,230.27 | $2,238.72 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $288.40 Median $537.03 Typical High $1,122.02 | Facility | 52 · Reduced service | $288.40 | $537.03 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $213.80 Typical High $446.68 | Facility | 53 · Discontinued | $114.82 | $213.80 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $3,162.28 | Professional | None (both parts) | $575.44 | $575.44 | $3,162.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $1,584.89 | Professional | 52 · Reduced service | $288.40 | $288.40 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $630.96 | Professional | 53 · Discontinued | $114.82 | $114.82 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $933.25 | Professional | None (both parts) | $229.09 | $229.09 | $933.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $891.25 Median $11,220.18 Typical High $19,952.62 | Professional | None (both parts) | $891.25 | $11,220.18 | $19,952.62 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,584.89 | Facility | None | $707.95 | $851.14 | $1,584.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $3,981.07 | Facility | None | $776.25 | $851.14 | $3,981.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | None (both parts) | $489.78 | $489.78 | $501.19 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $616.60 Median $891.25 Typical High $1,000.00 | Professional | None (both parts) | $616.60 | $891.25 | $1,000.00 |
United Setting Facility Modifier None Typical Low $257.04 Median $645.65 Typical High $1,071.52 | Facility | None | $257.04 | $645.65 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $436.52 | $1,023.29 |
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 Facility Modifier 26 · Professional part Typical Low $575.44 Median $1,584.89 Typical High $1,949.84 | Facility | 26 · Professional part | $575.44 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Where Ohio sits
The same service costs 10.2 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· 49th of 51
$398
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.