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 $19.95 Median $40.74 Typical High $64.57 | Facility | None | $19.95 | $40.74 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $93.33 | Professional | None | $16.98 | $21.38 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $38.90 | Facility | None | $17.38 | $24.55 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $26.92 | Professional | None | $10.47 | $11.22 | $26.92 |
Aultcare Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aultcare Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $24.55 | Facility | None | $14.45 | $14.45 | $24.55 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $28.84 | Professional | None | $13.80 | $21.38 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $25.70 Typical High $70.79 | Facility | None | $14.13 | $25.70 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $30.20 | Professional | None | $10.72 | $13.49 | $30.20 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.85 Median $39.81 Typical High $117.49 | Facility | None | $15.85 | $39.81 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $30.90 | Professional | None | $10.72 | $15.85 | $30.90 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $25.70 | Professional | None | $11.75 | $14.79 | $25.70 |
SummaCare Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $25.70 | Professional | None | $13.80 | $18.20 | $25.70 |
United Setting Facility Modifier None Typical Low $7.59 Median $19.05 Typical High $31.62 | Facility | None | $7.59 | $19.05 | $31.62 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $30.20 | Professional | None | $8.91 | $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 $10.00 Median $20.42 Typical High $30.20 | Facility | 52 · Reduced service | $10.00 | $20.42 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $8.13 Typical High $12.02 | Facility | 53 · Discontinued | $3.98 | $8.13 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.00 Typical High $117.49 | Professional | 52 · Reduced service | $8.51 | $10.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.98 Typical High $46.77 | Professional | 53 · Discontinued | $3.39 | $3.98 | $46.77 |
Where Ohio sits
The same service costs 4.1 times more in Kansas 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· 46th of 51
$17.38
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.