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 $102.33 | Facility | None | $0.02 | $0.02 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $0.02 | $102.33 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.47 Typical High $30.90 | Professional | None (both parts) | $10.00 | $10.47 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $38.02 | $38.02 | $47.86 |
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 $52.48 Typical High $85.11 | Professional | 52 · Reduced service | $0.02 | $52.48 | $85.11 |
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 4677.4 times more in North Dakota 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· 44th of 51
$10.47
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.