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 $117.49 | Facility | None | $0.02 | $0.02 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $117.49 Typical High $181.97 | Professional | None | $0.02 | $117.49 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.47 Typical High $13.49 | Professional | None | $4.17 | $4.47 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | None | $27.54 | $27.54 | $34.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
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 $60.26 Typical High $97.72 | Professional | 52 · Reduced service | $0.02 | $60.26 | $97.72 |
Where Ohio sits
The same service costs 3981.1 times more in Montana 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· 45th of 51
$4.47
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.