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 Typical Low $0.02 Median $54.95 Typical High $83.18 | Professional | None | $0.02 | $54.95 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $4.17 Typical High $12.30 | Professional | None | $3.89 | $4.17 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | None | $28.18 | $28.18 | $35.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
1 more rate 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 $45.71 | Professional | 52 · Reduced service | $0.02 | $28.18 | $45.71 |
Where Ohio sits
The same service costs 6166.0 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· 44th of 51
$4.17
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.