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 $54.95 | Facility | None | $0.02 | $0.02 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $54.95 Typical High $81.28 | Professional | None (both parts) | $0.02 | $54.95 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $3.31 Median $3.31 Typical High $5.37 | Professional | None (both parts) | $3.31 | $3.31 | $5.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.89 Median $6.31 Typical High $18.62 | Professional | None (both parts) | $5.89 | $6.31 | $18.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | None (both parts) | $23.99 | $23.99 | $30.20 |
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 $28.18 Typical High $41.69 | Professional | 52 · Reduced service | $0.02 | $28.18 | $41.69 |
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 5128.6 times more in Kansas 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· 42nd of 51
$6.17
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.