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 $107.15 Typical High $177.83 | Facility | None | $56.23 | $107.15 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $194.98 | Professional | None | $50.12 | $67.61 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $61.66 | Professional | None | $23.44 | $30.90 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $114.82 | Facility | None | $50.12 | $72.44 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $75.86 | Professional | None | $28.84 | $33.88 | $75.86 |
Aultcare Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aultcare Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $50.12 | Professional | None | $43.65 | $43.65 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $70.79 | Facility | None | $48.98 | $61.66 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $83.18 | Professional | None | $40.74 | $61.66 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $72.44 Typical High $257.04 | Facility | None | $41.69 | $72.44 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $89.13 | Professional | None | $29.51 | $34.67 | $89.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $53.70 Median $114.82 Typical High $309.03 | Facility | None | $53.70 | $114.82 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $74.13 | Professional | None | $20.89 | $29.51 | $74.13 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $87.10 | Professional | None | $33.88 | $43.65 | $87.10 |
SummaCare Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
SummaCare Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $85.11 | Professional | None | $40.74 | $52.48 | $85.11 |
United Setting Facility Modifier None Typical Low $22.39 Median $56.23 Typical High $93.33 | Facility | None | $22.39 | $56.23 | $93.33 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $87.10 | Professional | None | $19.95 | $33.88 | $87.10 |
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 $29.51 Median $57.54 Typical High $77.62 | Facility | 52 · Reduced service | $29.51 | $57.54 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $22.91 Typical High $31.62 | Facility | 53 · Discontinued | $11.75 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $29.51 Typical High $109.65 | Professional | 52 · Reduced service | $25.12 | $29.51 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.75 Typical High $43.65 | Professional | 53 · Discontinued | $10.00 | $11.75 | $43.65 |
Where Ohio sits
The same service costs 4.5 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· 37th of 51
$52.48
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.