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 $95.50 | Facility | None | $0.02 | $0.02 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $0.02 | $95.50 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $3.02 Median $7.94 Typical High $11.48 | Professional | None (both parts) | $3.02 | $7.94 | $11.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.31 Median $6.76 Typical High $19.95 | Professional | None (both parts) | $6.31 | $6.76 | $19.95 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $32.36 | $32.36 | $40.74 |
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 $48.98 Typical High $72.44 | Professional | 52 · Reduced service | $0.02 | $48.98 | $72.44 |
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 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· 44th of 51
$6.76
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.