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 $16.60 Median $33.11 Typical High $56.23 | Facility | None | $16.60 | $33.11 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $21.88 Typical High $67.61 | Professional | None | $14.79 | $21.88 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $12.88 | Professional | None | $8.91 | $10.47 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $33.88 | Facility | None | $14.79 | $21.38 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $23.44 | Professional | None | $9.12 | $11.22 | $23.44 |
Aultcare Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aultcare Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | None | $12.88 | $12.88 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Facility | None | $18.20 | $18.20 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $24.55 | Professional | None | $12.02 | $18.20 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.88 Typical High $39.81 | Facility | None | $12.59 | $21.88 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $26.30 | Professional | None | $9.33 | $11.75 | $26.30 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $16.60 Median $37.15 Typical High $114.82 | Facility | None | $16.60 | $37.15 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $25.70 | Professional | None | $7.24 | $12.02 | $25.70 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $21.88 | Professional | None | $10.00 | $12.88 | $21.88 |
SummaCare Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $34.67 | Professional | None | $12.02 | $17.38 | $34.67 |
United Setting Facility Modifier None Typical Low $6.61 Median $16.60 Typical High $27.54 | Facility | None | $6.61 | $16.60 | $27.54 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.30 Typical High $26.30 | Professional | None | $7.76 | $12.30 | $26.30 |
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 $8.71 Median $16.98 Typical High $23.44 | Facility | 52 · Reduced service | $8.71 | $16.98 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.76 Typical High $9.33 | Facility | 53 · Discontinued | $3.47 | $6.76 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.71 Typical High $42.66 | Professional | 52 · Reduced service | $7.41 | $8.71 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.47 Typical High $16.98 | Professional | 53 · Discontinued | $2.95 | $3.47 | $16.98 |
Where Ohio sits
The same service costs 7.1 times more in Vermont than in Illinois. 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· 45th of 51
$15.49
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.