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 $2,344.23 Median $4,168.69 Typical High $7,079.46 | Facility | None | $2,344.23 | $4,168.69 | $7,079.46 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,174.90 Median $2,089.30 Typical High $3,467.37 | Facility | 52 · Reduced service | $1,174.90 | $2,089.30 | $3,467.37 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $831.76 Typical High $1,412.54 | Facility | 53 · Discontinued | $467.74 | $831.76 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,344.23 Typical High $5,623.41 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $5,623.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $1,122.02 | Professional | 53 · Discontinued | $467.74 | $467.74 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $3,715.35 | Professional | None (both parts) | $199.53 | $208.93 | $3,715.35 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $45,708.82 Typical High $81,283.05 | Professional | None (both parts) | $3,630.78 | $45,708.82 | $81,283.05 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $14,791.08 | Facility | None | $2,818.38 | $3,388.44 | $14,791.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $16,218.10 | Facility | None | $3,090.30 | $3,388.44 | $16,218.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $2,041.74 | Professional | None (both parts) | $30.20 | $30.20 | $2,041.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $3,630.78 Typical High $4,073.80 | Professional | None (both parts) | $2,454.71 | $3,630.78 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,630.27 Typical High $4,365.16 | Facility | None | $1,047.13 | $2,630.27 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,737.80 Typical High $4,168.69 | Professional | None (both parts) | $1,230.27 | $1,737.80 | $4,168.69 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,344.23 |
Where Ohio sits
The same service costs 30.9 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
$468
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.