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 $39.81 Median $109.65 Typical High $165.96 | Facility | None | $39.81 | $109.65 | $165.96 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.95 Median $54.95 Typical High $83.18 | Facility | 52 · Reduced service | $19.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $436.52 | Professional | None | $39.81 | $39.81 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $218.78 | Professional | 52 · Reduced service | $19.95 | $19.95 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $316.23 | Professional | None | $154.88 | $181.97 | $316.23 |
CareSource Setting Professional Modifier None Typical Low $52.48 Median $660.69 Typical High $1,174.90 | Professional | None | $52.48 | $660.69 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $204.17 | Professional | None | $31.62 | $39.81 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $204.17 | Professional | None | $31.62 | $39.81 | $204.17 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | None | $39.81 | $50.12 | $60.26 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
United Setting Professional Modifier None Typical Low $53.70 Median $1,000.00 Typical High $1,412.54 | Professional | None | $53.70 | $1,000.00 | $1,412.54 |
2 more rates 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 Facility Modifier 53 · Discontinued Typical Low $18.20 Median $23.99 Typical High $33.88 | Facility | 53 · Discontinued | $18.20 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $158.49 | Professional | 53 · Discontinued | $19.05 | $26.30 | $158.49 |
Where Ohio sits
The same service costs 120.2 times more in North Carolina than in New York. 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· 47th of 51
$182
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.