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 $9.12 Median $20.89 Typical High $34.67 | Facility | None | $9.12 | $20.89 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $35.48 | Professional | None | $7.59 | $11.48 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $9.55 Typical High $14.79 | Professional | None | $5.89 | $9.55 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $11.22 Typical High $17.78 | Facility | None | $7.76 | $11.22 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.01 Typical High $12.02 | Professional | None | $4.68 | $5.01 | $12.02 |
Aultcare Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aultcare Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $10.96 | Facility | None | $6.31 | $6.31 | $10.96 |
CareSource Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $12.88 | Professional | None | $6.17 | $9.55 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $11.48 Typical High $35.48 | Facility | None | $6.31 | $11.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $13.80 | Professional | None | $4.79 | $6.17 | $13.80 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $9.33 Median $19.50 Typical High $52.48 | Facility | None | $9.33 | $19.50 | $52.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4.47 Median $5.13 Typical High $12.30 | Professional | None | $4.47 | $5.13 | $12.30 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $11.48 | Professional | None | $5.25 | $7.24 | $11.48 |
SummaCare Setting Professional Modifier None Typical Low $6.17 Median $8.13 Typical High $11.48 | Professional | None | $6.17 | $8.13 | $11.48 |
United Setting Facility Modifier None Typical Low $3.47 Median $8.71 Typical High $14.45 | Facility | None | $3.47 | $8.71 | $14.45 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $13.49 | Professional | None | $3.55 | $5.01 | $13.49 |
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 $4.47 Median $10.47 Typical High $17.38 | Facility | 52 · Reduced service | $4.47 | $10.47 | $17.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $4.17 Typical High $6.92 | Facility | 53 · Discontinued | $1.82 | $4.17 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $4.47 Typical High $57.54 | Professional | 52 · Reduced service | $3.80 | $4.47 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.82 Typical High $22.91 | Professional | 53 · Discontinued | $1.51 | $1.82 | $22.91 |
Where Ohio sits
The same service costs 5.9 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· 44th of 51
$7.94
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.