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 $724.44 Median $1,288.25 Typical High $2,137.96 | Facility | None | $724.44 | $1,288.25 | $2,137.96 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $645.65 Typical High $1,071.52 | Facility | 52 · Reduced service | $354.81 | $645.65 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $257.04 Typical High $426.58 | Facility | 53 · Discontinued | $144.54 | $257.04 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $1,949.84 | Professional | None (both parts) | $724.44 | $724.44 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $977.24 | Professional | 52 · Reduced service | $354.81 | $354.81 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $389.05 | Professional | 53 · Discontinued | $144.54 | $144.54 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.96 Typical High $1,023.29 | Professional | None (both parts) | $10.23 | $10.96 | $1,023.29 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Facility | None | $812.83 | $812.83 | $1,023.29 |
CareSource Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $14,125.38 Typical High $24,547.09 | Professional | None (both parts) | $1,096.48 | $14,125.38 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,949.84 | Facility | None | $870.96 | $1,047.13 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $588.84 | $1,096.48 | $1,380.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $588.84 Median $1,047.13 Typical High $5,011.87 | Facility | None | $588.84 | $1,047.13 | $5,011.87 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $489.78 | $489.78 | $630.96 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $537.03 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $537.03 | $758.58 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $1,288.25 | Professional | None (both parts) | $380.19 | $537.03 | $1,288.25 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Where Ohio sits
The same service costs 31.6 times more in Alaska 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· 48th of 51
$468
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.