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 $17.38 Median $38.90 Typical High $72.44 | Facility | None | $17.38 | $38.90 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $24.55 Typical High $100.00 | Professional | None | $14.45 | $24.55 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $20.89 Typical High $33.11 | Facility | None | $14.45 | $20.89 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $22.39 | Professional | None | $8.91 | $9.33 | $22.39 |
Aultcare Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aultcare Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $20.42 | Facility | None | $12.30 | $12.30 | $20.42 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $23.99 | Professional | None | $11.75 | $17.78 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $19.05 Typical High $38.90 | Facility | None | $11.75 | $19.05 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $25.70 | Professional | None | $9.12 | $11.22 | $25.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $14.79 Median $22.91 Typical High $114.82 | Facility | None | $14.79 | $22.91 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.55 Median $11.22 Typical High $25.12 | Professional | None | $3.55 | $11.22 | $25.12 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $21.38 | Professional | None | $9.77 | $13.49 | $21.38 |
SummaCare Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $21.38 | Professional | None | $11.75 | $15.14 | $21.38 |
United Setting Facility Modifier None Typical Low $6.46 Median $17.78 Typical High $60.26 | Facility | None | $6.46 | $17.78 | $60.26 |
United Setting Professional Modifier None Typical Low $3.72 Median $10.72 Typical High $25.12 | Professional | None | $3.72 | $10.72 | $25.12 |
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 $8.51 Median $16.98 Typical High $39.81 | Facility | 52 · Reduced service | $8.51 | $16.98 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $6.92 Typical High $15.85 | Facility | 53 · Discontinued | $3.39 | $6.92 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $8.51 Typical High $89.13 | Professional | 52 · Reduced service | $7.08 | $8.51 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $35.48 | Professional | 53 · Discontinued | $2.88 | $3.39 | $35.48 |
Where Ohio sits
The same service costs 7.4 times more in Kansas 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· 46th of 51
$14.45
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.