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 $20.42 Median $41.69 Typical High $81.28 | Facility | None | $20.42 | $41.69 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $81.28 | Professional | None | $17.38 | $22.91 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $33.88 | Professional | None | $13.18 | $13.18 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $25.12 Typical High $39.81 | Facility | None | $17.78 | $25.12 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $27.54 | Professional | None | $10.72 | $11.48 | $27.54 |
Aultcare Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aultcare Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $25.12 | Facility | None | $14.79 | $14.79 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $29.51 | Professional | None | $14.13 | $21.88 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $26.30 Typical High $70.79 | Facility | None | $15.14 | $26.30 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $30.90 | Professional | None | $10.96 | $13.80 | $30.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.18 Median $34.67 Typical High $117.49 | Facility | None | $13.18 | $34.67 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $30.20 | Professional | None | $8.71 | $13.80 | $30.20 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $26.30 | Professional | None | $12.02 | $15.14 | $26.30 |
SummaCare Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $41.69 | Professional | None | $14.13 | $20.42 | $41.69 |
United Setting Facility Modifier None Typical Low $7.76 Median $19.50 Typical High $32.36 | Facility | None | $7.76 | $19.50 | $32.36 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $30.20 | Professional | None | $9.12 | $13.18 | $30.20 |
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 $10.23 Median $20.89 Typical High $45.71 | Facility | 52 · Reduced service | $10.23 | $20.89 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $8.32 Typical High $18.20 | Facility | 53 · Discontinued | $4.07 | $8.32 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $10.23 Typical High $45.71 | Professional | 52 · Reduced service | $8.71 | $10.23 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.07 Typical High $18.20 | Professional | 53 · Discontinued | $3.47 | $4.07 | $18.20 |
Where Ohio sits
The same service costs 4.8 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· 43rd of 51
$17.78
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.