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 $1,698.24 Median $3,090.30 Typical High $5,128.61 | Facility | None | $1,698.24 | $3,090.30 | $5,128.61 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $851.14 Median $1,513.56 Typical High $2,570.40 | Facility | 52 · Reduced service | $851.14 | $1,513.56 | $2,570.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $616.60 Typical High $1,023.29 | Facility | 53 · Discontinued | $338.84 | $616.60 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $4,073.80 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Professional | 52 · Reduced service | $851.14 | $851.14 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $812.83 | Professional | 53 · Discontinued | $338.84 | $338.84 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.95 Median $21.38 Typical High $2,691.53 | Professional | None (both parts) | $19.95 | $21.38 | $2,691.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $33,113.11 Typical High $58,884.37 | Professional | None (both parts) | $2,630.27 | $33,113.11 | $58,884.37 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $10,715.19 | Facility | None | $2,089.30 | $2,511.89 | $10,715.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $11,748.98 | Facility | None | $2,290.87 | $2,511.89 | $11,748.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,479.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,630.27 Typical High $2,951.21 | Professional | None (both parts) | $1,819.70 | $2,630.27 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $891.25 | $1,288.25 | $3,019.95 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $1,698.24 |
Where Ohio sits
The same service costs 229.1 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
$45.71
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.