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 $36.31 Median $74.13 Typical High $117.49 | Facility | None | $36.31 | $74.13 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $50.12 Typical High $141.25 | Professional | None | $30.90 | $50.12 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $44.67 Typical High $70.79 | Facility | None | $30.90 | $44.67 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $48.98 | Professional | None | $19.05 | $20.42 | $48.98 |
Aultcare Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aultcare Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $44.67 | Facility | None | $26.30 | $26.30 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $52.48 | Professional | None | $25.12 | $38.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $125.89 | Facility | None | $26.92 | $46.77 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $54.95 | Professional | None | $19.50 | $24.55 | $54.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $125.89 | Facility | None | $25.12 | $54.95 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.18 Median $20.42 Typical High $52.48 | Professional | None | $13.18 | $20.42 | $52.48 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $45.71 | Professional | None | $21.38 | $28.84 | $45.71 |
SummaCare Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $52.48 | Professional | None | $25.12 | $32.36 | $52.48 |
United Setting Facility Modifier None Typical Low $13.80 Median $34.67 Typical High $57.54 | Facility | None | $13.80 | $34.67 | $57.54 |
United Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $54.95 | Professional | None | $16.22 | $27.54 | $54.95 |
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 $18.20 Median $37.15 Typical High $54.95 | Facility | 52 · Reduced service | $18.20 | $37.15 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $14.79 Typical High $21.88 | Facility | 53 · Discontinued | $7.24 | $14.79 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $18.20 Typical High $79.43 | Professional | 52 · Reduced service | $15.49 | $18.20 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.24 Typical High $31.62 | Professional | 53 · Discontinued | $6.17 | $7.24 | $31.62 |
Where Ohio sits
The same service costs 3.6 times more in Alaska 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· 44th of 51
$31.62
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.