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 $14.79 Median $26.92 Typical High $44.67 | Facility | None | $14.79 | $26.92 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $40.74 | Professional | None (both parts) | $14.79 | $14.79 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $8.13 Typical High $23.44 | Professional | None (both parts) | $6.46 | $8.13 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $21.38 | Facility | None | $14.13 | $14.13 | $21.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $22.91 | $295.12 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $40.74 | Facility | None | $18.20 | $21.88 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $22.91 Typical High $28.18 | Professional | None (both parts) | $12.02 | $22.91 | $28.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $104.71 | Facility | None | $12.02 | $21.88 | $104.71 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None (both parts) | $12.02 | $12.02 | $12.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.23 Typical High $13.18 | Professional | None (both parts) | $10.23 | $10.23 | $13.18 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $11.22 Median $15.85 Typical High $22.39 | Professional | None (both parts) | $11.22 | $15.85 | $22.39 |
United Setting Facility Modifier None Typical Low $6.76 Median $16.98 Typical High $28.18 | Facility | None | $6.76 | $16.98 | $28.18 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $11.22 Typical High $26.92 | Professional | None (both parts) | $7.76 | $11.22 | $26.92 |
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 $7.41 Median $13.49 Typical High $22.39 | Facility | 52 · Reduced service | $7.41 | $13.49 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $5.37 Typical High $8.91 | Facility | 53 · Discontinued | $3.02 | $5.37 | $8.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.41 Typical High $19.95 | Professional | 52 · Reduced service | $7.41 | $7.41 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $8.13 | Professional | 53 · Discontinued | $3.02 | $3.02 | $8.13 |
Where Ohio sits
The same service costs 10.5 times more in Alaska 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· 44th of 51
$11.22
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.