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 $2,884.03 Median $5,128.61 Typical High $8,709.64 | Facility | None | $2,884.03 | $5,128.61 | $8,709.64 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,445.44 Median $2,570.40 Typical High $4,365.16 | Facility | 52 · Reduced service | $1,445.44 | $2,570.40 | $4,365.16 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $1,047.13 Typical High $1,737.80 | Facility | 53 · Discontinued | $575.44 | $1,047.13 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $6,918.31 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $6,918.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,445.44 Typical High $3,467.37 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $1,380.38 | Professional | 53 · Discontinued | $575.44 | $575.44 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,445.44 Typical High $4,570.88 | Professional | None (both parts) | $1,380.38 | $1,445.44 | $4,570.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $56,234.13 Typical High $100,000.00 | Professional | None (both parts) | $4,466.84 | $56,234.13 | $100,000.00 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $18,197.01 | Facility | None | $3,548.13 | $4,168.69 | $18,197.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $19,952.62 | Facility | None | $3,801.89 | $4,168.69 | $19,952.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $2,511.89 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $4,466.84 Typical High $5,011.87 | Professional | None (both parts) | $3,090.30 | $4,466.84 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,235.94 Typical High $5,370.32 | Facility | None | $1,288.25 | $3,235.94 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,137.96 Typical High $5,128.61 | Professional | None (both parts) | $1,513.56 | $2,137.96 | $5,128.61 |
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | 26 · Professional part | $2,884.03 | $2,884.03 | $2,884.03 |
Where Ohio sits
The same service costs 8.9 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· 49th of 51
$2,042
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.