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 $74.13 | Facility | None | $0.02 | $0.02 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $74.13 Typical High $109.65 | Professional | None | $0.02 | $74.13 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $5.62 | Professional | None | $3.16 | $3.16 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.37 Typical High $16.22 | Professional | None | $5.01 | $5.37 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | None | $12.30 | $12.30 | $15.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
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 $37.15 Typical High $54.95 | Professional | 52 · Reduced service | $0.02 | $37.15 | $54.95 |
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· 47th 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.