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 $208.93 Median $389.05 Typical High $630.96 | Facility | None | $208.93 | $389.05 | $630.96 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $104.71 Median $194.98 Typical High $309.03 | Facility | 52 · Reduced service | $104.71 | $194.98 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $77.62 Typical High $125.89 | Facility | 53 · Discontinued | $41.69 | $77.62 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $208.93 | $208.93 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | 52 · Reduced service | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | 53 · Discontinued | $41.69 | $41.69 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $323.59 | Professional | None (both parts) | $57.54 | $57.54 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $323.59 Median $4,073.80 Typical High $7,244.36 | Professional | None (both parts) | $323.59 | $4,073.80 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $1,318.26 | Facility | None | $251.19 | $302.00 | $1,318.26 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $1,445.44 | Facility | None | $275.42 | $302.00 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | None (both parts) | $177.83 | $177.83 | $181.97 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $223.87 | $323.59 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $371.54 | Professional | None (both parts) | $109.65 | $154.88 | $371.54 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Where Ohio sits
The same service costs 5.4 times more in Alaska than in Ohio. 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· 51st of 51
$110
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.