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 $2,041.74 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,041.74 | $3,801.89 | $6,606.93 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,905.46 Typical High $3,311.31 | Facility | 52 · Reduced service | $1,023.29 | $1,905.46 | $3,311.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $407.38 Median $758.58 Typical High $1,318.26 | Facility | 53 · Discontinued | $407.38 | $758.58 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $6,606.93 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $6,606.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $3,311.31 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $1,318.26 | Professional | 53 · Discontinued | $407.38 | $407.38 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $3,235.94 | Professional | None (both parts) | $33.11 | $33.11 | $3,235.94 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $40,738.03 Typical High $70,794.58 | Professional | None (both parts) | $3,162.28 | $40,738.03 | $70,794.58 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $13,182.57 | Facility | None | $2,511.89 | $3,019.95 | $13,182.57 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $14,454.40 | Facility | None | $2,754.23 | $3,019.95 | $14,454.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,819.70 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,162.28 Typical High $3,630.78 | Professional | None (both parts) | $2,187.76 | $3,162.28 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $3,715.35 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $3,715.35 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 26 · Professional part | $2,041.74 | $2,041.74 | $2,041.74 |
Where Ohio sits
The same service costs 204.2 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
$1,072
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.