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 $7.59 Median $15.14 Typical High $24.55 | Facility | None | $7.59 | $15.14 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $30.20 | Professional | None | $6.61 | $9.55 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $4.90 Typical High $12.59 | Professional | None | $4.07 | $4.90 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $15.14 | Facility | None | $6.61 | $9.55 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.27 Typical High $10.23 | Professional | None | $4.07 | $4.27 | $10.23 |
Aultcare Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aultcare Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | None | $5.75 | $5.75 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $9.33 | Facility | None | $8.13 | $8.13 | $9.33 |
CareSource Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $10.96 | Professional | None | $5.37 | $8.13 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $8.71 Typical High $17.78 | Facility | None | $5.37 | $8.71 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $5.25 Typical High $11.75 | Professional | None | $4.17 | $5.25 | $11.75 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $8.71 Median $26.30 Typical High $107.15 | Facility | None | $8.71 | $26.30 | $107.15 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.16 Median $4.90 Typical High $13.18 | Professional | None | $3.16 | $4.90 | $13.18 |
Molina Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $9.77 | Professional | None | $4.47 | $6.17 | $9.77 |
SummaCare Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $13.80 | Professional | None | $5.37 | $6.92 | $13.80 |
United Setting Facility Modifier None Typical Low $2.75 Median $7.41 Typical High $12.30 | Facility | None | $2.75 | $7.41 | $12.30 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $11.48 | Professional | None | $3.47 | $4.90 | $11.48 |
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 Facility Modifier 52 · Reduced service Typical Low $3.89 Median $7.76 Typical High $10.23 | Facility | 52 · Reduced service | $3.89 | $7.76 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $3.16 Typical High $4.07 | Facility | 53 · Discontinued | $1.55 | $3.16 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.89 Typical High $30.20 | Professional | 52 · Reduced service | $3.24 | $3.89 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.55 Typical High $12.30 | Professional | 53 · Discontinued | $1.32 | $1.55 | $12.30 |
Where Ohio sits
The same service costs 17.0 times more in Vermont 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· 39th of 51
$7.59
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.