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 $47.86 Typical High $70.79 | Facility | None | $23.44 | $47.86 | $70.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $25.70 Typical High $35.48 | Facility | 52 · Reduced service | $13.18 | $25.70 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $10.47 Typical High $14.13 | Facility | 53 · Discontinued | $5.25 | $10.47 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $131.83 | Professional | None | $22.39 | $25.70 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $13.18 Typical High $91.20 | Professional | 52 · Reduced service | $11.22 | $13.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.25 Typical High $36.31 | Professional | 53 · Discontinued | $4.47 | $5.25 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $51.29 | Facility | None | $22.39 | $32.36 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $32.36 | Professional | None | $11.22 | $12.02 | $32.36 |
Aultcare Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $32.36 | Facility | None | $20.42 | $20.42 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $114.82 | Facility | None | $18.62 | $32.36 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $39.81 | Professional | None | $12.59 | $13.18 | $39.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $114.82 | Facility | None | $18.62 | $32.36 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $24.55 | Professional | None | $12.88 | $13.18 | $24.55 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $33.88 | Professional | None | $15.49 | $22.91 | $33.88 |
SummaCare Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $33.88 | Professional | None | $18.20 | $23.99 | $33.88 |
United Setting Facility Modifier None Typical Low $10.00 Median $25.12 Typical High $41.69 | Facility | None | $10.00 | $25.12 | $41.69 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $39.81 | Professional | None | $11.75 | $16.60 | $39.81 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 90 · Outside lab | $14.13 | $14.13 | $14.13 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 41st of 51
$21.38
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.