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 $14.79 Median $25.12 Typical High $46.77 | Facility | None | $14.79 | $25.12 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $72.44 | Professional | None | $12.59 | $13.80 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | None | $8.71 | $8.71 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $31.62 | Facility | None | $14.13 | $19.95 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $7.41 Typical High $19.95 | Professional | None | $6.92 | $7.41 | $19.95 |
Aultcare Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aultcare Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $19.95 | Facility | None | $17.38 | $17.38 | $19.95 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $23.44 | Professional | None | $11.22 | $17.38 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $20.42 Typical High $38.02 | Facility | None | $11.22 | $20.42 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $24.55 | Professional | None | $7.94 | $9.33 | $24.55 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $7.24 Median $22.91 Typical High $100.00 | Facility | None | $7.24 | $22.91 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $21.38 | Professional | None | $5.75 | $7.94 | $21.38 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $20.89 | Professional | None | $9.55 | $12.88 | $20.89 |
SummaCare Setting Professional Modifier None Typical Low $11.22 Median $14.79 Typical High $20.89 | Professional | None | $11.22 | $14.79 | $20.89 |
United Setting Facility Modifier None Typical Low $6.17 Median $15.49 Typical High $25.70 | Facility | None | $6.17 | $15.49 | $25.70 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $24.55 | Professional | None | $7.24 | $10.47 | $24.55 |
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 $6.92 Median $12.30 Typical High $20.89 | Facility | 52 · Reduced service | $6.92 | $12.30 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $5.01 Typical High $8.32 | Facility | 53 · Discontinued | $2.75 | $5.01 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $36.31 | Professional | 52 · Reduced service | $6.92 | $6.92 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $14.45 | Professional | 53 · Discontinued | $2.75 | $2.75 | $14.45 |
Where Ohio sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 37th of 51
$13.80
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.