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 $8.71 Median $17.78 Typical High $28.18 | Facility | None | $8.71 | $17.78 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $44.67 | Professional | None | $7.41 | $9.77 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $6.46 | Professional | None | $4.17 | $5.75 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $10.72 Typical High $16.98 | Facility | None | $7.59 | $10.72 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $11.75 | Professional | None | $4.57 | $4.90 | $11.75 |
Aultcare Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Aultcare Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $10.72 | Facility | None | $9.33 | $9.33 | $10.72 |
CareSource Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $12.59 | Professional | None | $6.03 | $9.33 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $11.22 Typical High $30.90 | Facility | None | $6.46 | $11.22 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $13.49 | Professional | None | $4.79 | $6.03 | $13.49 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $9.55 Median $26.30 Typical High $75.86 | Facility | None | $9.55 | $26.30 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.72 Median $6.31 Typical High $14.79 | Professional | None | $3.72 | $6.31 | $14.79 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $11.22 | Professional | None | $5.13 | $6.92 | $11.22 |
SummaCare Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $18.62 | Professional | None | $6.03 | $8.91 | $18.62 |
United Setting Facility Modifier None Typical Low $3.39 Median $9.33 Typical High $13.80 | Facility | None | $3.39 | $9.33 | $13.80 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.61 Typical High $13.18 | Professional | None | $3.89 | $6.61 | $13.18 |
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 $4.37 Median $8.91 Typical High $13.18 | Facility | 52 · Reduced service | $4.37 | $8.91 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $3.55 Typical High $5.25 | Facility | 53 · Discontinued | $1.78 | $3.55 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $4.37 Typical High $38.90 | Professional | 52 · Reduced service | $3.72 | $4.37 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.78 Typical High $15.49 | Professional | 53 · Discontinued | $1.48 | $1.78 | $15.49 |
Where Ohio sits
The same service costs 12.9 times more in Vermont 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· 39th of 51
$8.13
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.