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 $3,467.37 Median $5,888.44 Typical High $8,317.64 | Facility | None | $3,467.37 | $5,888.44 | $8,317.64 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,380.38 Median $2,570.40 Typical High $4,168.69 | Facility | 52 · Reduced service | $1,380.38 | $2,570.40 | $4,168.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $549.54 Median $1,023.29 Typical High $1,659.59 | Facility | 53 · Discontinued | $549.54 | $1,023.29 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $7,244.36 Typical High $8,317.64 | Professional | None (both parts) | $2,818.38 | $7,244.36 | $8,317.64 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $3,630.78 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $1,479.11 | Professional | 53 · Discontinued | $549.54 | $549.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $3,630.78 | Professional | None (both parts) | $309.03 | $323.59 | $3,630.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $53,703.18 Typical High $95,499.26 | Professional | None (both parts) | $4,265.80 | $53,703.18 | $95,499.26 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $17,378.01 | Facility | None | $3,388.44 | $3,981.07 | $17,378.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $19,054.61 | Facility | None | $3,630.78 | $3,981.07 | $19,054.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $2,818.38 | Professional | None (both parts) | $39.81 | $50.12 | $2,818.38 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $4,265.80 Typical High $4,786.30 | Professional | None (both parts) | $2,951.21 | $4,265.80 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,041.74 Typical High $4,897.79 | Professional | None (both parts) | $1,445.44 | $2,041.74 | $4,897.79 |
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | 26 · Professional part | $2,754.23 | $2,754.23 | $2,754.23 |
Where Ohio sits
The same service costs 35.5 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
$479
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.