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 $2,398.83 Typical High $5,888.44 | Facility | None | $0.02 | $2,398.83 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $3,162.28 Typical High $5,248.07 | Professional | None | $0.02 | $3,162.28 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $2,951.21 | Professional | None | $426.58 | $426.58 | $2,951.21 |
CareSource Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $9,549.93 | Facility | None | $2,290.87 | $2,818.38 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,168.69 | Professional | None | $1,071.52 | $1,071.52 | $4,168.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $9,549.93 | Facility | None | $2,511.89 | $2,884.03 | $9,549.93 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,168.69 | Professional | None | $1,071.52 | $1,071.52 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,621.81 | $2,089.30 | $2,884.03 |
SummaCare Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $3,715.35 | Professional | None | $1,995.26 | $2,884.03 | $3,715.35 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,089.30 Typical High $3,467.37 | Facility | None | $851.14 | $2,089.30 | $3,467.37 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $3,311.31 | Professional | None | $977.24 | $1,412.54 | $3,311.31 |
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 $0.02 Median $2,187.76 Typical High $2,951.21 | Facility | 52 · Reduced service | $0.02 | $2,187.76 | $2,951.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $489.78 Median $870.96 Typical High $1,174.90 | Facility | 53 · Discontinued | $489.78 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.02 Median $2,187.76 Typical High $2,630.27 | Professional | 52 · Reduced service | $0.02 | $2,187.76 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $912.01 Typical High $1,174.90 | Professional | 53 · Discontinued | $616.60 | $912.01 | $1,174.90 |
Where Ohio sits
The same service costs 67.6 times more in Texas than in Alabama. 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· 48th of 51
$977
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.