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 $660.69 Median $1,096.48 Typical High $1,905.46 | Facility | None | $660.69 | $1,096.48 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,584.89 | Professional | None | $630.96 | $630.96 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $1,479.11 | Facility | None | $645.65 | $912.01 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,071.52 | Professional | None | $501.19 | $645.65 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Facility | None | $660.69 | $660.69 | $912.01 |
CareSource Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,737.80 | Facility | None | $524.81 | $933.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,148.15 | Professional | None | $363.08 | $363.08 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $933.25 Typical High $1,659.59 | Facility | None | $512.86 | $933.25 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,096.48 | Professional | None | $363.08 | $363.08 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $954.99 | Professional | None | $436.52 | $660.69 | $954.99 |
SummaCare Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,230.27 | Professional | None | $512.86 | $758.58 | $1,230.27 |
United Setting Facility Modifier None Typical Low $288.40 Median $707.95 Typical High $1,202.26 | Facility | None | $288.40 | $707.95 | $1,202.26 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,148.15 | Professional | None | $331.13 | $478.63 | $1,148.15 |
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 $316.23 Median $549.54 Typical High $954.99 | Facility | 52 · Reduced service | $316.23 | $549.54 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $223.87 Typical High $380.19 | Facility | 53 · Discontinued | $125.89 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $794.33 | Professional | 52 · Reduced service | $316.23 | $316.23 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $316.23 | Professional | 53 · Discontinued | $125.89 | $125.89 | $316.23 |
Where Ohio sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 30th of 51
$646
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.