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 $2,137.96 Median $3,801.89 Typical High $6,309.57 | Facility | None | $2,137.96 | $3,801.89 | $6,309.57 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,905.46 Typical High $3,162.28 | Facility | 52 · Reduced service | $1,071.52 | $1,905.46 | $3,162.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $758.58 Typical High $1,258.93 | Facility | 53 · Discontinued | $426.58 | $758.58 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $5,011.87 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,071.52 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $1,023.29 | Professional | 53 · Discontinued | $426.58 | $426.58 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $2,754.23 | Professional | None (both parts) | $190.55 | $208.93 | $2,754.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $41,686.94 Typical High $74,131.02 | Professional | None (both parts) | $3,235.94 | $41,686.94 | $74,131.02 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $13,489.63 | Facility | None | $2,570.40 | $3,090.30 | $13,489.63 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $14,791.08 | Facility | None | $2,818.38 | $3,090.30 | $14,791.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,862.09 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $3,235.94 Typical High $3,715.35 | Professional | None (both parts) | $2,238.72 | $3,235.94 | $3,715.35 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,398.83 Typical High $3,981.07 | Facility | None | $954.99 | $2,398.83 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $3,801.89 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $3,801.89 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 26 · Professional part | $2,137.96 | $2,137.96 | $2,137.96 |
Where Ohio sits
The same service costs 33.9 times more in Texas than in Ohio. 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· 51st of 51
$389
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.