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 $0.02 Median $0.02 Typical High $93.33 | Facility | None | $0.02 | $0.02 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $0.02 | $93.33 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2.00 Median $4.37 Typical High $4.37 | Professional | None (both parts) | $2.00 | $4.37 | $4.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.37 Median $5.62 Typical High $15.49 | Professional | None (both parts) | $5.37 | $5.62 | $15.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | None (both parts) | $13.18 | $13.18 | $16.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Facility | None | $151.36 | $151.36 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None (both parts) | $11.22 | $11.22 | $11.22 |
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 $0.02 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $0.02 | $67.61 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Ohio sits
The same service costs 8709.6 times more in West Virginia than in Tennessee. 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· 49th of 51
$5.37
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.