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 $173.78 Median $380.19 Typical High $549.54 | Facility | None | $173.78 | $380.19 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $575.44 | Professional | None | $141.25 | $141.25 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $323.59 | Facility | None | $141.25 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $234.42 | Professional | None | $69.18 | $79.43 | $234.42 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $724.44 | Facility | None | $169.82 | $208.93 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $245.47 | Professional | None | $79.43 | $81.28 | $245.47 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $724.44 | Facility | None | $186.21 | $218.78 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $229.09 | Professional | None | $79.43 | $79.43 | $229.09 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $218.78 | Professional | None | $120.23 | $158.49 | $218.78 |
SummaCare Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $275.42 | Professional | None | $147.91 | $213.80 | $275.42 |
United Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $263.03 | Facility | None | $63.10 | $158.49 | $263.03 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $251.19 | Professional | None | $74.13 | $104.71 | $251.19 |
4 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 Facility Modifier 52 · Reduced service Typical Low $69.18 Median $125.89 Typical High $208.93 | Facility | 52 · Reduced service | $69.18 | $125.89 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $50.12 Typical High $83.18 | Facility | 53 · Discontinued | $28.18 | $50.12 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $208.93 | Professional | 52 · Reduced service | $69.18 | $69.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $83.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $83.18 |
Where Ohio sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 41st of 51
$141
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.