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 $630.96 Median $1,148.15 Typical High $1,905.46 | Facility | None | $630.96 | $1,148.15 | $1,905.46 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $316.23 Median $575.44 Typical High $954.99 | Facility | 52 · Reduced service | $316.23 | $575.44 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $229.09 Typical High $380.19 | Facility | 53 · Discontinued | $125.89 | $229.09 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $1,513.56 | Professional | None (both parts) | $630.96 | $630.96 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $758.58 | Professional | 52 · Reduced service | $316.23 | $316.23 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | 53 · Discontinued | $125.89 | $125.89 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $851.14 | Professional | None (both parts) | $229.09 | $239.88 | $851.14 |
CareSource Setting Professional Modifier None (both parts) Typical Low $977.24 Median $12,589.25 Typical High $21,877.62 | Professional | None (both parts) | $977.24 | $12,589.25 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $3,981.07 | Facility | None | $776.25 | $933.25 | $3,981.07 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $851.14 Median $933.25 Typical High $4,466.84 | Facility | None | $851.14 | $933.25 | $4,466.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $562.34 | Professional | None (both parts) | $549.54 | $549.54 | $562.34 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $1,122.02 | Professional | None (both parts) | $676.08 | $977.24 | $1,122.02 |
United Setting Facility Modifier None Typical Low $288.40 Median $707.95 Typical High $1,202.26 | Facility | None | $288.40 | $707.95 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $478.63 | $1,148.15 |
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 $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Where Ohio sits
The same service costs 12.0 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· 49th of 51
$339
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.