How much rates vary
Facilitymedian $1,202 · 10th to 90th $479 to $5,754Professionalmedian $2,630 · 10th to 90th $1,905 to $4,169
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 $2,041.74 Median $2,041.74 Typical High $5,370.32 | Facility | None | $2,041.74 | $2,041.74 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $6,025.60 | Professional | None | $2,041.74 | $2,041.74 | $6,025.60 |
Ambetter Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
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 $1,905.46 Median $2,454.71 Typical High $4,365.16 | Professional | None | $1,905.46 | $2,454.71 | $4,365.16 |
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 $1,995.26 Median $2,398.83 Typical High $4,677.35 | Professional | None | $1,995.26 | $2,398.83 | $4,677.35 |
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 $1,995.26 Median $2,511.89 Typical High $4,677.35 | Professional | None | $1,995.26 | $2,511.89 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,884.03 | $3,801.89 |
SummaCare Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,398.83 | $3,801.89 |
United Setting Facility Modifier None Typical Low $371.54 Median $1,000.00 Typical High $4,677.35 | Facility | None | $371.54 | $1,000.00 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,786.30 | Professional | None | $1,862.09 | $2,511.89 | $4,786.30 |
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 $1,023.29 Median $1,023.29 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $912.01 | Professional | 53 · Discontinued | $407.38 | $407.38 | $912.01 |
Where Ohio sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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
AK $12,394AR $2,907
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.