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 $17.78 Median $35.48 Typical High $57.54 | Facility | None | $17.78 | $35.48 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $77.62 | Professional | None | $15.14 | $20.89 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $29.51 | Professional | None | $11.48 | $11.48 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $21.88 Typical High $34.67 | Facility | None | $15.49 | $21.88 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $23.99 | Professional | None | $9.33 | $10.00 | $23.99 |
Aultcare Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $26.30 | Facility | None | $12.88 | $12.88 | $26.30 |
Aultcare Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $21.88 | Facility | None | $12.88 | $12.88 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $25.70 | Professional | None | $12.30 | $19.05 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $22.91 Typical High $41.69 | Facility | None | $12.59 | $22.91 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $27.54 | Professional | None | $9.55 | $12.02 | $27.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $19.95 Median $28.84 Typical High $97.72 | Facility | None | $19.95 | $28.84 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $26.30 | Professional | None | $7.41 | $10.23 | $26.30 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $22.91 | Professional | None | $10.47 | $13.18 | $22.91 |
SummaCare Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $31.62 | Professional | None | $12.30 | $16.22 | $31.62 |
United Setting Facility Modifier None Typical Low $6.76 Median $16.98 Typical High $28.18 | Facility | None | $6.76 | $16.98 | $28.18 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $26.92 | Professional | None | $7.94 | $11.75 | $26.92 |
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 $8.91 Median $17.78 Typical High $23.99 | Facility | 52 · Reduced service | $8.91 | $17.78 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $7.08 Typical High $9.55 | Facility | 53 · Discontinued | $3.55 | $7.08 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $8.91 Typical High $85.11 | Professional | 52 · Reduced service | $7.59 | $8.91 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.55 Typical High $33.88 | Professional | 53 · Discontinued | $3.02 | $3.55 | $33.88 |
Where Ohio sits
The same service costs 5.0 times more in Vermont 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· 42nd of 51
$16.22
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.