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 $26.92 Median $54.95 Typical High $117.49 | Facility | None | $26.92 | $54.95 | $117.49 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $13.49 Median $27.54 Typical High $58.88 | Facility | 52 · Reduced service | $13.49 | $27.54 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $10.96 Typical High $23.44 | Facility | 53 · Discontinued | $5.50 | $10.96 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $288.40 | Professional | None | $22.91 | $26.30 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $13.49 Typical High $151.36 | Professional | 52 · Reduced service | $11.48 | $13.49 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.50 Typical High $60.26 | Professional | 53 · Discontinued | $4.57 | $5.50 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $52.48 | Facility | None | $23.44 | $33.11 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $36.31 | Professional | None | $14.13 | $15.14 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $33.11 | Facility | None | $19.05 | $19.05 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $117.49 | Facility | None | $19.50 | $33.88 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $41.69 | Professional | None | $14.79 | $18.20 | $41.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $117.49 | Facility | None | $18.62 | $33.88 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $39.81 | Professional | None | $14.79 | $18.20 | $39.81 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $34.67 | Professional | None | $15.85 | $20.42 | $34.67 |
SummaCare Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $34.67 | Professional | None | $18.62 | $24.55 | $34.67 |
United Setting Facility Modifier None Typical Low $10.47 Median $25.70 Typical High $43.65 | Facility | None | $10.47 | $25.70 | $43.65 |
United Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $41.69 | Professional | None | $12.02 | $19.95 | $41.69 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 90 · Outside lab | $19.95 | $19.95 | $19.95 |
Where Ohio sits
The same service costs 5.5 times more in Kansas 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· 44th of 51
$22.91
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.