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 $23.99 Median $47.86 Typical High $75.86 | Facility | None | $23.99 | $47.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $141.25 | Professional | None | $20.42 | $24.55 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $46.77 | Facility | None | $20.42 | $29.51 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $31.62 | Professional | None | $12.59 | $13.18 | $31.62 |
Aultcare Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aultcare Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $28.84 | Facility | None | $17.38 | $17.38 | $28.84 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $33.88 | Professional | None | $16.60 | $25.12 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $30.20 Typical High $54.95 | Facility | None | $16.60 | $30.20 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $36.31 | Professional | None | $12.88 | $16.22 | $36.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $16.60 Median $33.88 Typical High $151.36 | Facility | None | $16.60 | $33.88 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $35.48 | Professional | None | $10.00 | $16.22 | $35.48 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $30.20 | Professional | None | $13.80 | $19.05 | $30.20 |
SummaCare Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $50.12 | Professional | None | $16.60 | $21.38 | $50.12 |
United Setting Facility Modifier None Typical Low $9.12 Median $22.91 Typical High $38.02 | Facility | None | $9.12 | $22.91 | $38.02 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $36.31 | Professional | None | $10.72 | $17.78 | $36.31 |
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 $12.02 Median $23.99 Typical High $36.31 | Facility | 52 · Reduced service | $12.02 | $23.99 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $9.77 Typical High $14.45 | Facility | 53 · Discontinued | $4.79 | $9.77 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $12.02 Typical High $85.11 | Professional | 52 · Reduced service | $10.00 | $12.02 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.79 Typical High $33.88 | Professional | 53 · Discontinued | $4.07 | $4.79 | $33.88 |
Where Ohio sits
The same service costs 15.8 times more in Vermont 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· 42nd of 51
$20.89
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.