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 $19.95 Median $38.90 Typical High $57.54 | Facility | None | $19.95 | $38.90 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $61.66 | Professional | None | $15.49 | $19.95 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | None | $12.59 | $12.59 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $38.90 | Facility | None | $16.98 | $24.55 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $24.55 | Professional | None | $8.51 | $8.91 | $24.55 |
Aultcare Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aultcare Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $23.99 | Facility | None | $11.48 | $11.48 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $28.18 | Professional | None | $13.80 | $20.89 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $53.70 | Facility | None | $13.80 | $25.12 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $27.54 | Professional | None | $9.55 | $10.00 | $27.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $11.22 Median $28.18 Typical High $72.44 | Facility | None | $11.22 | $28.18 | $72.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.62 Median $9.55 Typical High $21.38 | Professional | None | $5.62 | $9.55 | $21.38 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $25.12 | Professional | None | $11.48 | $15.85 | $25.12 |
SummaCare Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $28.84 | Professional | None | $13.80 | $17.78 | $28.84 |
United Setting Facility Modifier None Typical Low $7.59 Median $19.05 Typical High $31.62 | Facility | None | $7.59 | $19.05 | $31.62 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $29.51 | Professional | None | $8.91 | $12.59 | $29.51 |
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 $10.00 Median $19.50 Typical High $26.30 | Facility | 52 · Reduced service | $10.00 | $19.50 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.76 Typical High $10.72 | Facility | 53 · Discontinued | $3.98 | $7.76 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.00 Typical High $26.30 | Professional | 52 · Reduced service | $8.51 | $10.00 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.98 Typical High $10.72 | Professional | 53 · Discontinued | $3.39 | $3.98 | $10.72 |
Where Ohio sits
The same service costs 6.6 times more in Vermont 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· 39th of 51
$16.98
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.