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 $3.63 Median $8.32 Typical High $13.80 | Facility | None | $3.63 | $8.32 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $19.95 | Professional | None | $3.02 | $4.57 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.80 | Professional | None | $2.00 | $2.00 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $4.37 Typical High $6.92 | Facility | None | $3.09 | $4.37 | $6.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $1.82 Typical High $4.79 | Professional | None | $1.70 | $1.82 | $4.79 |
Aultcare Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Aultcare Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
CareSource Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $4.37 | Facility | None | $2.57 | $2.57 | $4.37 |
CareSource Setting Professional Modifier None Typical Low $2.45 Median $3.80 Typical High $5.13 | Professional | None | $2.45 | $3.80 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $4.07 Typical High $8.32 | Facility | None | $2.51 | $4.07 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $2.19 Typical High $6.31 | Professional | None | $1.82 | $2.19 | $6.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3.31 Median $11.22 Typical High $93.33 | Facility | None | $3.31 | $11.22 | $93.33 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.51 Median $2.04 Typical High $5.75 | Professional | None | $1.51 | $2.04 | $5.75 |
Molina Setting Professional Modifier None Typical Low $2.09 Median $2.82 Typical High $4.57 | Professional | None | $2.09 | $2.82 | $4.57 |
SummaCare Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $4.57 | Professional | None | $2.45 | $3.24 | $4.57 |
United Setting Facility Modifier None Typical Low $1.38 Median $3.80 Typical High $7.59 | Facility | None | $1.38 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $5.25 | Professional | None | $1.58 | $2.29 | $5.25 |
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 $1.78 Median $4.17 Typical High $7.94 | Facility | 52 · Reduced service | $1.78 | $4.17 | $7.94 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.72 Median $1.66 Typical High $3.16 | Facility | 53 · Discontinued | $0.72 | $1.66 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.78 Typical High $14.45 | Professional | 52 · Reduced service | $1.51 | $1.78 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.72 Typical High $5.75 | Professional | 53 · Discontinued | $0.62 | $0.72 | $5.75 |
Where Ohio sits
The same service costs 11.7 times more in Minnesota 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· 42nd of 51
$3.16
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.