How much rates vary
Facilitymedian $7 · 10th to 90th $4 to $28Professionalmedian $5 · 10th to 90th $2 to $10
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 $3.80 Median $9.33 Typical High $14.45 | Facility | None | $3.80 | $9.33 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.79 Typical High $14.45 | Professional | None | $3.47 | $4.79 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.57 Typical High $5.75 | Professional | None | $2.14 | $2.57 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.47 Median $5.01 Typical High $7.94 | Facility | None | $3.47 | $5.01 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $5.13 Typical High $7.59 | Professional | None | $2.95 | $5.13 | $7.59 |
Aultcare Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Aultcare Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.90 | Facility | None | $4.27 | $4.27 | $4.90 |
CareSource Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $5.75 | Professional | None | $2.82 | $4.27 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $5.13 Typical High $9.33 | Facility | None | $2.95 | $5.13 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $6.76 | Professional | None | $2.00 | $2.82 | $6.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $5.25 Median $18.62 Typical High $43.65 | Facility | None | $5.25 | $18.62 | $43.65 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.74 Median $3.16 Typical High $9.77 | Professional | None | $1.74 | $3.16 | $9.77 |
Molina Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $5.13 | Professional | None | $2.34 | $3.24 | $5.13 |
SummaCare Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $8.51 | Professional | None | $3.24 | $4.07 | $8.51 |
United Setting Facility Modifier None Typical Low $1.26 Median $3.89 Typical High $10.47 | Facility | None | $1.26 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $4.27 Typical High $5.75 | Professional | None | $2.34 | $4.27 | $5.75 |
7 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 $2.04 Median $4.68 Typical High $7.76 | Facility | 52 · Reduced service | $2.04 | $4.68 | $7.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $1.91 Typical High $3.09 | Facility | 53 · Discontinued | $0.81 | $1.91 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $2.04 Typical High $15.14 | Professional | 52 · Reduced service | $1.74 | $2.04 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.81 Typical High $6.03 | Professional | 53 · Discontinued | $0.69 | $0.81 | $6.03 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $2.14 Median $2.29 Typical High $4.27 | Professional | QW · Waived lab test | $2.14 | $2.29 | $4.27 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.31 Median $5.50 Typical High $6.31 | Professional | QW · Waived lab test | $3.31 | $5.50 | $6.31 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $2.82 Median $3.63 Typical High $5.13 | Professional | QW · Waived lab test | $2.82 | $3.63 | $5.13 |
Where Ohio sits
The same service costs 14.8 times more in Minnesota than in Maryland. 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· 23rd of 51
$5.13
MN $51.29MD $3.47
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.