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 $512.86 Median $912.01 Typical High $1,513.56 | Facility | None | $512.86 | $912.01 | $1,513.56 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $251.19 Median $457.09 Typical High $758.58 | Facility | 52 · Reduced service | $251.19 | $457.09 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $181.97 Typical High $302.00 | Facility | 53 · Discontinued | $102.33 | $181.97 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $1,202.26 | Professional | None (both parts) | $512.86 | $512.86 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $602.56 | Professional | 52 · Reduced service | $251.19 | $251.19 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $245.47 | Professional | 53 · Discontinued | $102.33 | $102.33 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $794.33 | Professional | None (both parts) | $239.88 | $257.04 | $794.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $776.25 Median $10,000.00 Typical High $17,378.01 | Professional | None (both parts) | $776.25 | $10,000.00 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $3,235.94 | Facility | None | $616.60 | $741.31 | $3,235.94 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $3,548.13 | Facility | None | $676.08 | $741.31 | $3,548.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None (both parts) | $436.52 | $436.52 | $446.68 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $537.03 Median $776.25 Typical High $891.25 | Professional | None (both parts) | $537.03 | $776.25 | $891.25 |
United Setting Facility Modifier None Typical Low $229.09 Median $575.44 Typical High $954.99 | Facility | None | $229.09 | $575.44 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $912.01 | Professional | None (both parts) | $269.15 | $380.19 | $912.01 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Where Ohio sits
The same service costs 11.7 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· 48th of 51
$363
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.