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 $588.84 Median $1,096.48 Typical High $1,778.28 | Facility | None | $588.84 | $1,096.48 | $1,778.28 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $295.12 Median $549.54 Typical High $891.25 | Facility | 52 · Reduced service | $295.12 | $549.54 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $218.78 Typical High $354.81 | Facility | 53 · Discontinued | $117.49 | $218.78 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $1,513.56 | Professional | None (both parts) | $588.84 | $588.84 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $758.58 | Professional | 52 · Reduced service | $295.12 | $295.12 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $302.00 | Professional | 53 · Discontinued | $117.49 | $117.49 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,174.90 | Professional | None (both parts) | $691.83 | $691.83 | $1,174.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $912.01 Median $11,748.98 Typical High $20,417.38 | Professional | None (both parts) | $912.01 | $11,748.98 | $20,417.38 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $3,801.89 | Facility | None | $724.44 | $870.96 | $3,801.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $794.33 Median $870.96 Typical High $4,168.69 | Facility | None | $794.33 | $870.96 | $4,168.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | None (both parts) | $512.86 | $512.86 | $524.81 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $630.96 Median $912.01 Typical High $1,047.13 | Professional | None (both parts) | $630.96 | $912.01 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $446.68 | $1,071.52 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
Where Ohio sits
The same service costs 58.9 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· 27th of 51
$692
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.