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 $10.96 Median $22.39 Typical High $42.66 | Facility | None | $10.96 | $22.39 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $77.62 | Professional | None | $9.33 | $11.48 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | None | $6.92 | $6.92 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $21.38 | Facility | None | $9.33 | $13.49 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $14.45 | Professional | None | $5.75 | $6.17 | $14.45 |
Aultcare Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aultcare Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $13.49 | Facility | None | $7.94 | $7.94 | $13.49 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $15.85 | Professional | None | $7.59 | $11.48 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $48.98 | Facility | None | $7.59 | $14.13 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $16.60 | Professional | None | $5.89 | $7.41 | $16.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $7.59 Median $18.62 Typical High $52.48 | Facility | None | $7.59 | $18.62 | $52.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.13 Median $7.59 Typical High $16.98 | Professional | None | $5.13 | $7.59 | $16.98 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $13.80 | Professional | None | $6.46 | $8.13 | $13.80 |
SummaCare Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $22.91 | Professional | None | $7.59 | $9.77 | $22.91 |
United Setting Facility Modifier None Typical Low $4.17 Median $11.48 Typical High $30.20 | Facility | None | $4.17 | $11.48 | $30.20 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.32 Typical High $16.60 | Professional | None | $4.90 | $8.32 | $16.60 |
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 $5.50 Median $11.22 Typical High $41.69 | Facility | 52 · Reduced service | $5.50 | $11.22 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.47 Typical High $16.60 | Facility | 53 · Discontinued | $2.19 | $4.47 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.50 Typical High $85.11 | Professional | 52 · Reduced service | $4.68 | $5.50 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.19 Typical High $33.88 | Professional | 53 · Discontinued | $1.86 | $2.19 | $33.88 |
Where Ohio sits
The same service costs 4.4 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· 43rd of 51
$9.55
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.