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 $36.31 Median $72.44 Typical High $117.49 | Facility | None | $36.31 | $72.44 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $141.25 | Professional | None | $30.90 | $40.74 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $60.26 | Professional | None | $22.91 | $22.91 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $44.67 Typical High $70.79 | Facility | None | $31.62 | $44.67 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $47.86 | Professional | None | $19.05 | $20.42 | $47.86 |
Aultcare Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $44.67 | Facility | None | $25.70 | $25.70 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $52.48 | Professional | None | $25.12 | $38.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $83.18 | Facility | None | $26.92 | $46.77 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $54.95 | Professional | None | $19.50 | $24.55 | $54.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $25.12 Median $70.79 Typical High $158.49 | Facility | None | $25.12 | $70.79 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $61.66 | Professional | None | $17.38 | $25.12 | $61.66 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | None | $21.38 | $26.92 | $46.77 |
SummaCare Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $52.48 | Professional | None | $25.12 | $33.11 | $52.48 |
United Setting Facility Modifier None Typical Low $13.80 Median $38.90 Typical High $104.71 | Facility | None | $13.80 | $38.90 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $54.95 | Professional | None | $16.22 | $27.54 | $54.95 |
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 $18.20 Median $35.48 Typical High $48.98 | Facility | 52 · Reduced service | $18.20 | $35.48 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $14.45 Typical High $19.50 | Facility | 53 · Discontinued | $7.24 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $18.20 Typical High $120.23 | Professional | 52 · Reduced service | $15.49 | $18.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.24 Typical High $47.86 | Professional | 53 · Discontinued | $6.17 | $7.24 | $47.86 |
Where Ohio sits
The same service costs 4.7 times more in Alaska 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· 39th of 51
$32.36
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.