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 $6.03 Median $12.88 Typical High $20.42 | Facility | None | $6.03 | $12.88 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $24.55 | Professional | None | $5.37 | $7.41 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.98 Typical High $8.71 | Professional | None | $3.39 | $3.98 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $7.76 Typical High $12.30 | Facility | None | $5.37 | $7.76 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.55 Typical High $8.51 | Professional | None | $3.31 | $3.55 | $8.51 |
Aultcare Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
Aultcare Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.37 | Professional | None | $4.68 | $4.68 | $5.37 |
CareSource Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $7.76 | Facility | None | $6.76 | $6.76 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $9.12 | Professional | None | $4.37 | $6.76 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $8.13 Typical High $16.98 | Facility | None | $4.68 | $8.13 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.27 Typical High $9.77 | Professional | None | $3.47 | $4.27 | $9.77 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $10.47 Median $33.88 Typical High $64.57 | Facility | None | $10.47 | $33.88 | $64.57 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.40 Median $4.27 Typical High $10.23 | Professional | None | $2.40 | $4.27 | $10.23 |
Molina Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $8.13 | Professional | None | $3.72 | $4.68 | $8.13 |
SummaCare Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $12.02 | Professional | None | $4.37 | $6.31 | $12.02 |
United Setting Facility Modifier None Typical Low $2.24 Median $6.03 Typical High $20.89 | Facility | None | $2.24 | $6.03 | $20.89 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.68 Typical High $9.33 | Professional | None | $2.82 | $4.68 | $9.33 |
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 $3.16 Median $6.46 Typical High $8.51 | Facility | 52 · Reduced service | $3.16 | $6.46 | $8.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $2.57 Typical High $3.39 | Facility | 53 · Discontinued | $1.26 | $2.57 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.69 Median $3.16 Typical High $28.84 | Professional | 52 · Reduced service | $2.69 | $3.16 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.26 Typical High $11.48 | Professional | 53 · Discontinued | $1.07 | $1.26 | $11.48 |
Where Ohio sits
The same service costs 10.0 times more in Minnesota 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· 35th of 51
$6.61
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.