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 $15.85 Median $37.15 Typical High $52.48 | Facility | None | $15.85 | $37.15 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $87.10 | Professional | None | $13.49 | $16.98 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $30.90 | Facility | None | $13.49 | $19.50 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $20.89 | Professional | None | $8.32 | $8.71 | $20.89 |
Aultcare Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aultcare Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $19.05 | Facility | None | $11.48 | $11.48 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $22.39 | Professional | None | $10.96 | $16.60 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $63.10 | Facility | None | $10.96 | $19.95 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $23.99 | Professional | None | $8.51 | $10.72 | $23.99 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $11.22 Median $23.99 Typical High $93.33 | Facility | None | $11.22 | $23.99 | $93.33 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $23.44 | Professional | None | $8.32 | $10.72 | $23.44 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $19.95 | Professional | None | $9.12 | $12.59 | $19.95 |
SummaCare Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $19.95 | Professional | None | $10.96 | $14.13 | $19.95 |
United Setting Facility Modifier None Typical Low $6.03 Median $15.14 Typical High $25.12 | Facility | None | $6.03 | $15.14 | $25.12 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.47 Typical High $23.99 | Professional | None | $7.08 | $10.47 | $23.99 |
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 $7.94 Median $15.85 Typical High $23.99 | Facility | 52 · Reduced service | $7.94 | $15.85 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $6.46 Typical High $9.55 | Facility | 53 · Discontinued | $3.16 | $6.46 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.94 Typical High $72.44 | Professional | 52 · Reduced service | $6.76 | $7.94 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $28.84 | Professional | 53 · Discontinued | $2.69 | $3.16 | $28.84 |
Where Ohio sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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· 43rd of 51
$13.49
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.