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 $12.88 Median $25.70 Typical High $40.74 | Facility | None | $12.88 | $25.70 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $89.13 | Professional | None | $10.72 | $14.13 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | None | $8.13 | $8.13 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $15.49 Typical High $24.55 | Facility | None | $10.96 | $15.49 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $16.98 | Professional | None | $6.61 | $7.08 | $16.98 |
Aultcare Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aultcare Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $15.49 | Facility | None | $9.12 | $9.12 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $18.20 | Professional | None | $8.71 | $13.49 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $16.22 Typical High $44.67 | Facility | None | $8.91 | $16.22 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $19.50 | Professional | None | $6.76 | $8.51 | $19.50 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $7.41 Median $23.99 Typical High $69.18 | Facility | None | $7.41 | $23.99 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $17.78 | Professional | None | $5.37 | $7.41 | $17.78 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $16.22 | Professional | None | $7.41 | $10.00 | $16.22 |
SummaCare Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $26.92 | Professional | None | $8.71 | $11.48 | $26.92 |
United Setting Facility Modifier None Typical Low $4.79 Median $12.02 Typical High $19.95 | Facility | None | $4.79 | $12.02 | $19.95 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $19.05 | Professional | None | $5.62 | $8.91 | $19.05 |
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 $6.31 Median $12.88 Typical High $19.05 | Facility | 52 · Reduced service | $6.31 | $12.88 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $5.13 Typical High $7.59 | Facility | 53 · Discontinued | $2.51 | $5.13 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $6.31 Typical High $52.48 | Professional | 52 · Reduced service | $5.37 | $6.31 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.51 Typical High $21.38 | Professional | 53 · Discontinued | $2.14 | $2.51 | $21.38 |
Where Ohio sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 46th of 51
$10.96
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.