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 $4,168.69 Median $7,762.47 Typical High $12,589.25 | Facility | None | $4,168.69 | $7,762.47 | $12,589.25 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2,089.30 Median $3,890.45 Typical High $6,309.57 | Facility | 52 · Reduced service | $2,089.30 | $3,890.45 | $6,309.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $831.76 Median $1,548.82 Typical High $2,511.89 | Facility | 53 · Discontinued | $831.76 | $1,548.82 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $11,748.98 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $11,748.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,089.30 Median $2,089.30 Typical High $5,754.40 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $5,754.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $831.76 Typical High $2,344.23 | Professional | 53 · Discontinued | $831.76 | $831.76 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $6,456.54 | Professional | None (both parts) | $66.07 | $66.07 | $6,456.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $81,283.05 Typical High $144,543.98 | Professional | None (both parts) | $6,456.54 | $81,283.05 | $144,543.98 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $26,302.68 | Facility | None | $5,128.61 | $6,165.95 | $26,302.68 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $5,623.41 Median $6,165.95 Typical High $28,840.32 | Facility | None | $5,623.41 | $6,165.95 | $28,840.32 |
Molina Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $3,715.35 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $3,715.35 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $6,456.54 Typical High $7,244.36 | Professional | None (both parts) | $4,466.84 | $6,456.54 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,162.28 Typical High $7,413.10 | Professional | None (both parts) | $2,187.76 | $3,162.28 | $7,413.10 |
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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | 26 · Professional part | $4,168.69 | $4,168.69 | $4,168.69 |
Where Ohio sits
The same service costs 416.9 times more in Texas 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· 50th of 51
$2,188
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.