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 $24.55 Median $47.86 Typical High $77.62 | Facility | None | $24.55 | $47.86 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $81.28 | Professional | None | $20.42 | $30.90 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $39.81 | Professional | None | $11.48 | $15.49 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $47.86 | Facility | None | $20.89 | $30.20 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $32.36 | Professional | None | $12.88 | $13.49 | $32.36 |
Aultcare Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $25.70 | Facility | None | $17.38 | $17.38 | $25.70 |
Aultcare Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $20.42 | Professional | None | $18.20 | $18.20 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $29.51 | Facility | None | $25.70 | $25.70 | $29.51 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $34.67 | Professional | None | $16.60 | $25.70 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $56.23 | Facility | None | $17.78 | $27.54 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $37.15 | Professional | None | $13.18 | $16.22 | $37.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.88 Median $40.74 Typical High $138.04 | Facility | None | $12.88 | $40.74 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $29.51 | Professional | None | $7.76 | $13.80 | $29.51 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $30.90 | Professional | None | $14.13 | $19.50 | $30.90 |
SummaCare Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $44.67 | Professional | None | $16.60 | $22.39 | $44.67 |
United Setting Facility Modifier None Typical Low $9.33 Median $25.70 Typical High $104.71 | Facility | None | $9.33 | $25.70 | $104.71 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $36.31 | Professional | None | $10.96 | $15.49 | $36.31 |
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 $12.30 Median $23.99 Typical High $32.36 | Facility | 52 · Reduced service | $12.30 | $23.99 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $9.55 Typical High $12.88 | Facility | 53 · Discontinued | $4.90 | $9.55 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.30 Typical High $79.43 | Professional | 52 · Reduced service | $10.23 | $12.30 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.90 Typical High $31.62 | Professional | 53 · Discontinued | $4.17 | $4.90 | $31.62 |
Where Ohio sits
The same service costs 7.4 times more in Vermont than in Alabama. 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· 48th of 51
$20.42
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.