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 $1,071.52 Median $1,995.26 Typical High $4,168.69 | Facility | None | $1,071.52 | $1,995.26 | $4,168.69 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $537.03 Median $1,000.00 Typical High $2,089.30 | Facility | 52 · Reduced service | $537.03 | $1,000.00 | $2,089.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $398.11 Typical High $831.76 | Facility | 53 · Discontinued | $213.80 | $398.11 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $5,623.41 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $5,623.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $2,818.38 | Professional | 52 · Reduced service | $537.03 | $537.03 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $1,122.02 | Professional | 53 · Discontinued | $213.80 | $213.80 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,659.59 | Professional | None (both parts) | $426.58 | $426.58 | $1,659.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,621.81 Typical High $24,547.09 | Professional | None (both parts) | $1,348.96 | $1,621.81 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $6,760.83 | Facility | None | $1,288.25 | $1,548.82 | $6,760.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $7,413.10 | Facility | None | $1,412.54 | $1,548.82 | $7,413.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,096.48 Typical High $1,659.59 | Professional | None (both parts) | $912.01 | $1,096.48 | $1,659.59 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,659.59 Typical High $1,862.09 | Professional | None (both parts) | $1,148.15 | $1,659.59 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,905.46 | Professional | None (both parts) | $562.34 | $794.33 | $1,905.46 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $1,071.52 | $1,071.52 | $1,071.52 |
Where Ohio sits
The same service costs 102.3 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· 49th of 51
$759
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.