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 $22.39 Median $50.12 Typical High $83.18 | Facility | None | $22.39 | $50.12 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $31.62 Typical High $165.96 | Professional | None | $18.20 | $31.62 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $26.92 Typical High $42.66 | Facility | None | $18.62 | $26.92 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $28.84 | Professional | None | $11.22 | $12.02 | $28.84 |
Aultcare Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aultcare Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $26.30 | Facility | None | $15.49 | $15.49 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $27.54 Typical High $85.11 | Facility | None | $15.14 | $27.54 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $33.11 | Professional | None | $11.75 | $14.79 | $33.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.49 Median $33.11 Typical High $117.49 | Facility | None | $15.49 | $33.11 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $38.02 | Professional | None | $11.75 | $15.14 | $38.02 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $27.54 | Professional | None | $12.59 | $17.38 | $27.54 |
SummaCare Setting Professional Modifier None Typical Low $14.79 Median $19.50 Typical High $27.54 | Professional | None | $14.79 | $19.50 | $27.54 |
United Setting Facility Modifier None Typical Low $8.32 Median $20.42 Typical High $34.67 | Facility | None | $8.32 | $20.42 | $34.67 |
United Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $33.11 | Professional | None | $9.55 | $14.13 | $33.11 |
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 $10.72 Median $25.12 Typical High $41.69 | Facility | 52 · Reduced service | $10.72 | $25.12 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $10.00 Typical High $16.60 | Facility | 53 · Discontinued | $4.37 | $10.00 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $10.72 Typical High $107.15 | Professional | 52 · Reduced service | $9.12 | $10.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.37 Typical High $43.65 | Professional | 53 · Discontinued | $3.63 | $4.37 | $43.65 |
Where Ohio sits
The same service costs 6.6 times more in Alaska 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· 39th of 51
$19.05
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.