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 $3,388.44 Typical High $4,677.35 | Facility | None | $1,949.84 | $3,388.44 | $4,677.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $776.25 Median $1,412.54 Typical High $2,344.23 | Facility | 52 · Reduced service | $776.25 | $1,412.54 | $2,344.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $309.03 Median $562.34 Typical High $933.25 | Facility | 53 · Discontinued | $309.03 | $562.34 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,818.38 Typical High $4,677.35 | Professional | None (both parts) | $1,412.54 | $2,818.38 | $4,677.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $1,862.09 | Professional | 52 · Reduced service | $776.25 | $776.25 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $741.31 | Professional | 53 · Discontinued | $309.03 | $309.03 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,445.44 Typical High $2,691.53 | Professional | None (both parts) | $1,380.38 | $1,445.44 | $2,691.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $30,902.95 Typical High $53,703.18 | Professional | None (both parts) | $2,398.83 | $30,902.95 | $53,703.18 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $9,772.37 | Facility | None | $1,905.46 | $2,290.87 | $9,772.37 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $10,232.93 | Facility | None | $2,089.30 | $2,290.87 | $10,232.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $1,380.38 | Professional | None (both parts) | $30.20 | $30.20 | $1,380.38 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,398.83 Typical High $2,754.23 | Professional | None (both parts) | $1,659.59 | $2,398.83 | $2,754.23 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $2,951.21 | Facility | None | $707.95 | $1,737.80 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $2,818.38 | Professional | None (both parts) | $741.31 | $1,047.13 | $2,818.38 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $1,548.82 | $1,548.82 | $1,548.82 |
Where Ohio sits
The same service costs 154.9 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· 27th of 51
$1,514
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.