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 $3,235.94 | Facility | None | $1,071.52 | $1,995.26 | $3,235.94 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $537.03 Median $1,000.00 Typical High $1,621.81 | Facility | 52 · Reduced service | $537.03 | $1,000.00 | $1,621.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $398.11 Typical High $645.65 | Facility | 53 · Discontinued | $213.80 | $398.11 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $2,691.53 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $2,691.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $1,348.96 | Professional | 52 · Reduced service | $537.03 | $537.03 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $537.03 | Professional | 53 · Discontinued | $213.80 | $213.80 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,698.24 | Professional | None (both parts) | $691.83 | $691.83 | $1,698.24 |
CareSource Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $20,892.96 Typical High $37,153.52 | Professional | None (both parts) | $1,659.59 | $20,892.96 | $37,153.52 |
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 $912.01 Typical High $933.25 | Professional | None (both parts) | $912.01 | $912.01 | $933.25 |
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 104.7 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· 39th of 51
$891
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.