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 $107.15 Median $194.98 Typical High $323.59 | Facility | None | $107.15 | $194.98 | $323.59 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $53.70 Median $95.50 Typical High $162.18 | Facility | 52 · Reduced service | $53.70 | $95.50 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $38.90 Typical High $64.57 | Facility | 53 · Discontinued | $21.38 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $107.15 | $107.15 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $128.82 | Professional | 52 · Reduced service | $53.70 | $53.70 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $51.29 | Professional | 53 · Discontinued | $21.38 | $21.38 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $181.97 | $281.84 | $407.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $165.96 Median $2,089.30 Typical High $3,715.35 | Professional | None (both parts) | $165.96 | $2,089.30 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $676.08 | Facility | None | $131.83 | $158.49 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $741.31 | Facility | None | $144.54 | $158.49 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $93.33 | Professional | None (both parts) | $30.20 | $30.20 | $93.33 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $114.82 | $165.96 | $186.21 |
United Setting Facility Modifier None Typical Low $47.86 Median $120.23 Typical High $199.53 | Facility | None | $47.86 | $120.23 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $56.23 | $81.28 | $190.55 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Where Ohio sits
The same service costs 11.7 times more in Texas than in New Mexico. 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· 5th of 51
$275
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.