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 $602.56 Median $1,071.52 Typical High $1,819.70 | Facility | None | $602.56 | $1,071.52 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $1,621.81 | Professional | None (both parts) | $602.56 | $602.56 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $954.99 | Professional | None (both parts) | $288.40 | $354.81 | $954.99 |
CareSource Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $870.96 | Facility | None | $524.81 | $524.81 | $870.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $912.01 Median $11,748.98 Typical High $20,892.96 | Professional | None (both parts) | $912.01 | $11,748.98 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $1,621.81 | Facility | None | $724.44 | $870.96 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $912.01 Typical High $1,148.15 | Professional | None (both parts) | $489.78 | $912.01 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $4,168.69 | Facility | None | $489.78 | $870.96 | $4,168.69 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | None (both parts) | $416.87 | $416.87 | $524.81 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $446.68 | $630.96 | $891.25 |
United Setting Facility Modifier None Typical Low $269.15 Median $676.08 Typical High $1,122.02 | Facility | None | $269.15 | $676.08 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $446.68 | $1,071.52 |
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 $302.00 Median $537.03 Typical High $891.25 | Facility | 52 · Reduced service | $302.00 | $537.03 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $213.80 Typical High $363.08 | Facility | 53 · Discontinued | $120.23 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | 52 · Reduced service | $302.00 | $302.00 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $323.59 | Professional | 53 · Discontinued | $120.23 | $120.23 | $323.59 |
Where Ohio sits
The same service costs 26.9 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· 45th of 51
$447
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.