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 $467.74 Median $602.56 Typical High $2,344.23 | Facility | None | $467.74 | $602.56 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $3,388.44 | Professional | None | $467.74 | $467.74 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $1,071.52 | Facility | None | $478.63 | $676.08 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $794.33 | Professional | None | $288.40 | $302.00 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $676.08 | Facility | None | $457.09 | $457.09 | $676.08 |
CareSource Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $2,398.83 | Facility | None | $380.19 | $691.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $1,000.00 | Professional | None | $295.12 | $346.74 | $1,000.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $2,398.83 | Facility | None | $380.19 | $691.83 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $977.24 | Professional | None | $295.12 | $316.23 | $977.24 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $724.44 | Professional | None | $323.59 | $478.63 | $724.44 |
SummaCare Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,174.90 | Professional | None | $380.19 | $549.54 | $1,174.90 |
United Setting Facility Modifier None Typical Low $208.93 Median $524.81 Typical High $870.96 | Facility | None | $208.93 | $524.81 | $870.96 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $831.76 | Professional | None | $245.47 | $354.81 | $831.76 |
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 $234.42 Median $234.42 Typical High $1,698.24 | Professional | 52 · Reduced service | $234.42 | $234.42 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $676.08 | Professional | 53 · Discontinued | $93.33 | $93.33 | $676.08 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 50th of 51
$427
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.