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 $56.23 Median $158.49 Typical High $10,715.19 | Facility | None | $56.23 | $158.49 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $95.50 | Professional | None | $30.20 | $43.65 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | None | $44.67 | $57.54 | $57.54 |
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 $26.92 Median $33.88 Typical High $56.23 | Professional | None | $26.92 | $33.88 | $56.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $47.86 Typical High $77.62 | Professional | 50 · Both sides | $38.02 | $47.86 | $77.62 |
Aultcare Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | None | $57.54 | $57.54 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $28.18 Typical High $40.74 | Facility | None | $21.38 | $28.18 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $72.44 | Professional | None | $46.77 | $58.88 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $38.90 Typical High $549.54 | Facility | None | $22.91 | $38.90 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $79.43 | Professional | None | $38.02 | $52.48 | $79.43 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $22.91 Median $40.74 Typical High $602.56 | Facility | None | $22.91 | $40.74 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $85.11 | Professional | None | $32.36 | $42.66 | $85.11 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $104.71 | Professional | None | $52.48 | $67.61 | $104.71 |
SummaCare Setting Facility Modifier None Typical Low $12.02 Median $12.59 Typical High $14.45 | Facility | None | $12.02 | $12.59 | $14.45 |
SummaCare Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $58.88 | Professional | None | $31.62 | $47.86 | $58.88 |
United Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $2,398.83 | Facility | None | $97.72 | $275.42 | $2,398.83 |
United Setting Professional Modifier None Typical Low $28.18 Median $45.71 Typical High $77.62 | Professional | None | $28.18 | $45.71 | $77.62 |
1 more rate 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 54 · Surgery only Typical Low $22.39 Median $33.11 Typical High $37.15 | Professional | 54 · Surgery only | $22.39 | $33.11 | $37.15 |
Where Ohio sits
The same service costs 3.3 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· 41st of 51
$47.86
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.