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 $23.44 Median $52.48 Typical High $79.43 | Facility | None | $23.44 | $52.48 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $89.13 | Professional | None | $17.78 | $25.12 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | None | $12.02 | $12.02 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $44.67 | Facility | None | $19.50 | $28.18 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $27.54 | Professional | None | $9.55 | $10.23 | $27.54 |
Aultcare Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aultcare Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $27.54 | Facility | None | $13.18 | $13.18 | $27.54 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $32.36 | Professional | None | $15.49 | $23.99 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $67.61 | Facility | None | $15.85 | $28.84 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $31.62 | Professional | None | $10.96 | $11.75 | $31.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $23.44 Median $46.77 Typical High $138.04 | Facility | None | $23.44 | $46.77 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $30.20 | Professional | None | $10.96 | $11.75 | $30.20 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $28.84 | Professional | None | $13.18 | $16.98 | $28.84 |
SummaCare Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $33.11 | Professional | None | $15.49 | $20.42 | $33.11 |
United Setting Facility Modifier None Typical Low $8.71 Median $21.88 Typical High $36.31 | Facility | None | $8.71 | $21.88 | $36.31 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $33.11 | Professional | None | $10.00 | $14.45 | $33.11 |
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 $11.48 Median $22.91 Typical High $44.67 | Facility | 52 · Reduced service | $11.48 | $22.91 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $9.12 Typical High $17.78 | Facility | 53 · Discontinued | $4.57 | $9.12 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $11.48 Typical High $79.43 | Professional | 52 · Reduced service | $9.55 | $11.48 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.57 Typical High $31.62 | Professional | 53 · Discontinued | $3.89 | $4.57 | $31.62 |
Where Ohio sits
The same service costs 6.2 times more in Alaska than in Georgia. 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· 40th of 51
$19.05
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.