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 $4,168.69 Median $7,244.36 Typical High $10,000.00 | Facility | None | $4,168.69 | $7,244.36 | $10,000.00 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,659.59 Median $3,019.95 Typical High $5,011.87 | Facility | 52 · Reduced service | $1,659.59 | $3,019.95 | $5,011.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $676.08 Median $1,202.26 Typical High $1,995.26 | Facility | 53 · Discontinued | $676.08 | $1,202.26 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $6,025.60 Typical High $10,000.00 | Professional | None (both parts) | $3,388.44 | $6,025.60 | $10,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,659.59 Typical High $3,981.07 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $1,584.89 | Professional | 53 · Discontinued | $676.08 | $676.08 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $4,365.16 | Professional | None (both parts) | $199.53 | $208.93 | $4,365.16 |
CareSource Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $66,069.34 Typical High $114,815.36 | Professional | None (both parts) | $5,128.61 | $66,069.34 | $114,815.36 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $21,379.62 | Facility | None | $4,073.80 | $4,897.79 | $21,379.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $4,466.84 Median $4,897.79 Typical High $23,442.29 | Facility | None | $4,466.84 | $4,897.79 | $23,442.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $2,951.21 | Professional | None (both parts) | $30.20 | $30.20 | $2,951.21 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $5,128.61 Typical High $5,888.44 | Professional | None (both parts) | $3,548.13 | $5,128.61 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,801.89 Typical High $6,309.57 | Facility | None | $1,513.56 | $3,801.89 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $6,025.60 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $6,025.60 |
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | 26 · Professional part | $3,311.31 | $3,311.31 | $3,311.31 |
Where Ohio sits
The same service costs 67.6 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
$309
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.