How much rates vary
Facilitymedian $1,862 · 10th to 90th $603 to $7,762Professionalmedian $1,122 · 10th to 90th $794 to $1,820
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 $2,344.23 Median $7,244.36 Typical High $12,589.25 | Facility | None | $2,344.23 | $7,244.36 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $7,079.46 | Professional | None | $724.44 | $1,096.48 | $7,079.46 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $933.25 | Professional | None | $794.33 | $933.25 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $4,570.88 | Facility | None | $524.81 | $1,174.90 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,905.46 | Professional | None | $912.01 | $1,380.38 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $2,884.03 | Facility | None | $549.54 | $1,862.09 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,819.70 | Professional | None | $812.83 | $954.99 | $1,819.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $2,818.38 | Facility | None | $549.54 | $1,862.09 | $2,818.38 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,819.70 | Professional | None | $812.83 | $954.99 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,318.26 | Professional | None | $776.25 | $1,000.00 | $1,318.26 |
SummaCare Setting Facility Modifier None Typical Low $891.25 Median $933.25 Typical High $1,071.52 | Facility | None | $891.25 | $933.25 | $1,071.52 |
SummaCare Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | None | $851.14 | $851.14 | $1,288.25 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $6,165.95 | Facility | None | $691.83 | $1,445.44 | $6,165.95 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,737.80 | Professional | None | $812.83 | $1,000.00 | $1,737.80 |
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 $363.08 Median $363.08 Typical High $1,445.44 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $588.84 | Professional | 53 · Discontinued | $147.91 | $147.91 | $588.84 |
Where Ohio sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.