How much rates vary
Facilitymedian $1,950 · 10th to 90th $513 to $9,120Professionalmedian $1,259 · 10th to 90th $912 to $1,995
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 $1,819.70 Median $3,019.95 Typical High $12,022.64 | Facility | None | $1,819.70 | $3,019.95 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $3,548.13 | Professional | None | $870.96 | $1,288.25 | $3,548.13 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,258.93 | Professional | None | $870.96 | $1,000.00 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $1,659.59 Typical High $7,585.78 | Facility | None | $645.65 | $1,659.59 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,071.52 | $1,380.38 | $1,995.26 |
CareSource Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
CareSource Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,288.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $2,691.53 | Facility | None | $501.19 | $630.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $2,041.74 | Professional | None | $954.99 | $1,096.48 | $2,041.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $2,691.53 | Facility | None | $501.19 | $691.83 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $2,041.74 | Professional | None | $954.99 | $1,096.48 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,584.89 | Professional | None | $933.25 | $1,202.26 | $1,584.89 |
SummaCare Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,513.56 | Professional | None | $933.25 | $1,000.00 | $1,513.56 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $4,677.35 | Facility | None | $371.54 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,949.84 | Professional | None | $851.14 | $1,096.48 | $1,949.84 |
4 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 $436.52 Median $436.52 Typical High $1,348.96 | Professional | 52 · Reduced service | $436.52 | $436.52 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $537.03 | Professional | 53 · Discontinued | $173.78 | $173.78 | $537.03 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $870.96 Median $1,202.26 Typical High $2,041.74 | Professional | GC · Resident with teaching physician | $870.96 | $1,202.26 | $2,041.74 |
Ambetter Setting Professional Modifier SB · Nurse midwife Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | SB · Nurse midwife | $776.25 | $776.25 | $776.25 |
Where Ohio sits
The same service costs 4.5 times more in Wisconsin than in Delaware. 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.
Physician feeFacility fee
WI $7,760DE $1,723
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.