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 $36.31 Median $100.00 Typical High $316.23 | Facility | None | $36.31 | $100.00 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $91.20 | Professional | None | $36.31 | $36.31 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $70.79 Typical High $114.82 | Professional | None | $40.74 | $70.79 | $114.82 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $245.47 Typical High $436.52 | Professional | None | $19.50 | $245.47 | $436.52 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $23.99 Median $69.18 Typical High $95.50 | Professional | None | $23.99 | $69.18 | $95.50 |
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 Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $45.71 | Professional | 52 · Reduced service | $18.20 | $18.20 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $18.20 | Professional | 53 · Discontinued | $7.24 | $7.24 | $18.20 |
Where Ohio sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 30th of 51
$69.18
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.