How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,660 to $5,012Professionalmedian $19 · 10th to 90th $12 to $2,455
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 $1,659.59 Median $3,019.95 Typical High $5,011.87 | Facility | None | $1,659.59 | $3,019.95 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $4,466.84 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.47 Median $13.18 Typical High $2,089.30 | Professional | None (both parts) | $10.47 | $13.18 | $2,089.30 |
CareSource Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $32,359.37 Typical High $57,543.99 | Professional | None (both parts) | $2,570.40 | $32,359.37 | $57,543.99 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $4,466.84 | Facility | None | $2,041.74 | $2,454.71 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $2,398.83 Typical High $2,951.21 | Professional | None (both parts) | $1,348.96 | $2,398.83 | $2,951.21 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $11,481.54 | Facility | None | $1,348.96 | $2,454.71 | $11,481.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $1,148.15 Typical High $1,445.44 | Professional | None (both parts) | $30.20 | $1,148.15 | $1,445.44 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,778.28 Typical High $2,511.89 | Professional | None (both parts) | $1,258.93 | $1,778.28 | $2,511.89 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,862.09 Typical High $3,090.30 | Facility | None | $741.31 | $1,862.09 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,258.93 Typical High $2,951.21 | Professional | None (both parts) | $870.96 | $1,258.93 | $2,951.21 |
5 more rates 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 Facility Modifier 52 · Reduced service Typical Low $831.76 Median $1,479.11 Typical High $2,511.89 | Facility | 52 · Reduced service | $831.76 | $1,479.11 | $2,511.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $331.13 Median $602.56 Typical High $1,000.00 | Facility | 53 · Discontinued | $331.13 | $602.56 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $2,238.72 | Professional | 52 · Reduced service | $831.76 | $831.76 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $891.25 | Professional | 53 · Discontinued | $331.13 | $331.13 | $891.25 |
Where Ohio sits
The same service costs 354.8 times more in Wisconsin 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· 49th of 51
$724
WI $2,951AL $8.32
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.