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 $120.23 Median $407.38 Typical High $10,715.19 | Facility | None | $120.23 | $407.38 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $724.44 | Professional | None | $64.57 | $93.33 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $794.33 Typical High $3,311.31 | Facility | None | $371.54 | $794.33 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $141.25 | Professional | None | $70.79 | $83.18 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $100.00 | Facility | None | $57.54 | $75.86 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $114.82 | Facility | None | $60.26 | $72.44 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $234.42 | Professional | None | $79.43 | $120.23 | $234.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $138.04 | Facility | None | $60.26 | $72.44 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $239.88 | Professional | None | $79.43 | $120.23 | $239.88 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $165.96 | Professional | None | $93.33 | $123.03 | $165.96 |
SummaCare Setting Facility Modifier None Typical Low $33.11 Median $34.67 Typical High $39.81 | Facility | None | $33.11 | $34.67 | $39.81 |
SummaCare Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $154.88 | Professional | None | $75.86 | $120.23 | $154.88 |
United Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,311.31 | Facility | None | $363.08 | $691.83 | $3,311.31 |
United Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $213.80 | Professional | None | $79.43 | $123.03 | $213.80 |
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 $32.36 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $32.36 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $12.88 | $18.62 | $20.42 |
Where Ohio sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 42nd of 51
$117
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.