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 $954.99 Typical High $2,290.87 | Facility | None | $0.02 | $954.99 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $2,290.87 Typical High $4,570.88 | Professional | None | $0.02 | $2,290.87 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,479.11 | Professional | None | $851.14 | $851.14 | $1,479.11 |
CareSource Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $3,715.35 | Facility | None | $891.25 | $1,096.48 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,659.59 | Professional | None | $416.87 | $416.87 | $1,659.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $3,715.35 | Facility | None | $977.24 | $1,148.15 | $3,715.35 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,659.59 | Professional | None | $416.87 | $416.87 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,122.02 | Professional | None | $630.96 | $831.76 | $1,122.02 |
SummaCare Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,445.44 | Professional | None | $776.25 | $1,122.02 | $1,445.44 |
United Setting Facility Modifier None Typical Low $331.13 Median $831.76 Typical High $1,380.38 | Facility | None | $331.13 | $831.76 | $1,380.38 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,318.26 | Professional | None | $380.19 | $549.54 | $1,318.26 |
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 $851.14 Typical High $1,148.15 | Facility | 52 · Reduced service | $0.02 | $851.14 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $416.87 Typical High $616.60 | Facility | 53 · Discontinued | $190.55 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.02 Median $1,548.82 Typical High $2,290.87 | Professional | 52 · Reduced service | $0.02 | $1,548.82 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $616.60 Typical High $912.01 | Professional | 53 · Discontinued | $338.84 | $616.60 | $912.01 |
Where Ohio sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 32nd of 51
$851
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.