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 $26.92 Median $57.54 Typical High $83.18 | Facility | None | $26.92 | $57.54 | $83.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $12.59 Median $25.12 Typical High $33.88 | Facility | 52 · Reduced service | $12.59 | $25.12 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $10.23 Typical High $13.49 | Facility | 53 · Discontinued | $5.01 | $10.23 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $123.03 | Professional | None | $19.50 | $26.92 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $12.59 Typical High $63.10 | Professional | 52 · Reduced service | $10.72 | $12.59 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.01 Typical High $25.12 | Professional | 53 · Discontinued | $4.27 | $5.01 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $30.90 Typical High $48.98 | Facility | None | $21.38 | $30.90 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $30.20 | Professional | None | $10.72 | $11.48 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $30.90 | Facility | None | $17.38 | $17.38 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $66.07 | Facility | None | $17.38 | $32.36 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $34.67 | Professional | None | $11.22 | $12.30 | $34.67 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $17.78 Median $34.67 Typical High $109.65 | Facility | None | $17.78 | $34.67 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $28.18 | Professional | None | $11.22 | $13.49 | $28.18 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $32.36 | Professional | None | $14.79 | $18.62 | $32.36 |
SummaCare Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $32.36 | Professional | None | $17.38 | $22.91 | $32.36 |
United Setting Facility Modifier None Typical Low $9.55 Median $23.99 Typical High $39.81 | Facility | None | $9.55 | $23.99 | $39.81 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $37.15 | Professional | None | $10.72 | $15.49 | $37.15 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 90 · Outside lab | $41.69 | $41.69 | $41.69 |
Where Ohio sits
The same service costs 3.8 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· 34th of 51
$20.89
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.