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 $602.56 Median $1,096.48 Typical High $1,819.70 | Facility | None | $602.56 | $1,096.48 | $1,819.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $302.00 Median $549.54 Typical High $912.01 | Facility | 52 · Reduced service | $302.00 | $549.54 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $218.78 Typical High $363.08 | Facility | 53 · Discontinued | $120.23 | $218.78 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $1,445.44 | Professional | None (both parts) | $602.56 | $602.56 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $724.44 | Professional | 52 · Reduced service | $302.00 | $302.00 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $288.40 | Professional | 53 · Discontinued | $120.23 | $120.23 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $954.99 | Professional | None (both parts) | $158.49 | $169.82 | $954.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $933.25 Median $12,022.64 Typical High $20,892.96 | Professional | None (both parts) | $933.25 | $12,022.64 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $3,890.45 | Facility | None | $741.31 | $891.25 | $3,890.45 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $812.83 Median $891.25 Typical High $4,265.80 | Facility | None | $812.83 | $891.25 | $4,265.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $537.03 | Professional | None (both parts) | $30.20 | $30.20 | $537.03 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $645.65 Median $933.25 Typical High $1,071.52 | Professional | None (both parts) | $645.65 | $933.25 | $1,071.52 |
United Setting Facility Modifier None Typical Low $275.42 Median $691.83 Typical High $1,148.15 | Facility | None | $275.42 | $691.83 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $1,096.48 | Professional | None (both parts) | $316.23 | $457.09 | $1,096.48 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Where Ohio sits
The same service costs 12.0 times more in Texas 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
$316
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.