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 $288.40 Median $537.03 Typical High $870.96 | Facility | None | $288.40 | $537.03 | $870.96 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $144.54 Median $269.15 Typical High $436.52 | Facility | 52 · Reduced service | $144.54 | $269.15 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $107.15 Typical High $173.78 | Facility | 53 · Discontinued | $57.54 | $107.15 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $831.76 | Professional | None (both parts) | $288.40 | $288.40 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $416.87 | Professional | 52 · Reduced service | $144.54 | $144.54 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $165.96 | Professional | 53 · Discontinued | $57.54 | $57.54 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $190.55 | $204.17 | $446.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $446.68 Median $5,623.41 Typical High $10,000.00 | Professional | None (both parts) | $446.68 | $5,623.41 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $1,819.70 | Facility | None | $354.81 | $426.58 | $1,819.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $389.05 Median $426.58 Typical High $1,995.26 | Facility | None | $389.05 | $426.58 | $1,995.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $251.19 | Professional | None (both parts) | $30.20 | $30.20 | $251.19 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $309.03 | $446.68 | $501.19 |
United Setting Facility Modifier None Typical Low $128.82 Median $323.59 Typical High $537.03 | Facility | None | $128.82 | $323.59 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $151.36 | $218.78 | $512.86 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Where Ohio sits
The same service costs 12.0 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· 36th of 51
$251
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.