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 $91.20 Median $165.96 Typical High $275.42 | Facility | None | $91.20 | $165.96 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $245.47 | Professional | None (both parts) | $91.20 | $91.20 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $144.54 | Professional | None (both parts) | $26.92 | $33.88 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $131.83 | Facility | None | $114.82 | $114.82 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,778.28 Typical High $3,162.28 | Professional | None (both parts) | $141.25 | $1,778.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $251.19 | Facility | None | $112.20 | $134.90 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $74.13 | $138.04 | $173.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $74.13 Median $134.90 Typical High $630.96 | Facility | None | $74.13 | $134.90 | $630.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $63.10 | $63.10 | $85.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $69.18 | $97.72 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $162.18 | Professional | None (both parts) | $47.86 | $69.18 | $162.18 |
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 $45.71 Median $83.18 Typical High $138.04 | Facility | 52 · Reduced service | $45.71 | $83.18 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $33.11 Typical High $54.95 | Facility | 53 · Discontinued | $18.20 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $123.03 | Professional | 52 · Reduced service | $45.71 | $45.71 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $48.98 | Professional | 53 · Discontinued | $18.20 | $18.20 | $48.98 |
Where Ohio sits
The same service costs 8.1 times more in Alaska than in Kentucky. 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· 49th of 51
$57.54
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.