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 $12.88 Median $25.70 Typical High $53.70 | Facility | None | $12.88 | $25.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $131.83 | Professional | None | $10.72 | $14.13 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $20.89 | Professional | None | $8.13 | $8.13 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $15.85 Typical High $25.12 | Facility | None | $10.96 | $15.85 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $16.98 | Professional | None | $6.76 | $7.08 | $16.98 |
Aultcare Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aultcare Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $15.49 | Facility | None | $7.41 | $7.41 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $18.20 | Professional | None | $8.71 | $13.49 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $16.22 Typical High $29.51 | Facility | None | $8.91 | $16.22 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $19.50 | Professional | None | $6.92 | $8.71 | $19.50 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $75.86 | Facility | None | $14.13 | $23.44 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $18.62 | Professional | None | $5.37 | $7.59 | $18.62 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $16.22 | Professional | None | $7.41 | $10.23 | $16.22 |
SummaCare Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $16.22 | Professional | None | $8.71 | $11.48 | $16.22 |
United Setting Facility Modifier None Typical Low $4.90 Median $12.30 Typical High $20.42 | Facility | None | $4.90 | $12.30 | $20.42 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $19.05 | Professional | None | $5.75 | $8.13 | $19.05 |
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 $6.46 Median $12.88 Typical High $30.20 | Facility | 52 · Reduced service | $6.46 | $12.88 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $5.13 Typical High $12.02 | Facility | 53 · Discontinued | $2.57 | $5.13 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $6.46 Typical High $83.18 | Professional | 52 · Reduced service | $5.37 | $6.46 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.57 Typical High $33.11 | Professional | 53 · Discontinued | $2.19 | $2.57 | $33.11 |
Where Ohio sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 46th of 51
$10.72
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.