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 $4.90 Median $11.48 Typical High $19.50 | Facility | None | $4.90 | $11.48 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $21.38 | Professional | None | $4.17 | $5.62 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.63 | Professional | None | $3.16 | $3.16 | $3.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $6.03 Typical High $9.55 | Facility | None | $4.27 | $6.03 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.16 Typical High $6.76 | Professional | None | $2.57 | $3.16 | $6.76 |
Aultcare Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Aultcare Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $6.03 | Facility | None | $5.25 | $5.25 | $6.03 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $5.25 Typical High $7.08 | Professional | None | $3.39 | $5.25 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $6.31 Typical High $11.22 | Facility | None | $3.63 | $6.31 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $7.24 | Professional | None | $2.63 | $3.31 | $7.24 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3.24 Median $8.71 Typical High $28.84 | Facility | None | $3.24 | $8.71 | $28.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.41 Median $2.75 Typical High $7.94 | Professional | None | $1.41 | $2.75 | $7.94 |
Molina Setting Professional Modifier None Typical Low $2.88 Median $3.63 Typical High $6.31 | Professional | None | $2.88 | $3.63 | $6.31 |
SummaCare Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $7.08 | Professional | None | $3.39 | $4.47 | $7.08 |
United Setting Facility Modifier None Typical Low $1.86 Median $4.68 Typical High $7.76 | Facility | None | $1.86 | $4.68 | $7.76 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.63 Typical High $7.41 | Professional | None | $2.19 | $3.63 | $7.41 |
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 $2.45 Median $5.75 Typical High $10.72 | Facility | 52 · Reduced service | $2.45 | $5.75 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $2.29 Typical High $4.27 | Facility | 53 · Discontinued | $1.00 | $2.29 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.45 Typical High $12.59 | Professional | 52 · Reduced service | $2.09 | $2.45 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.00 Typical High $5.01 | Professional | 53 · Discontinued | $0.83 | $1.00 | $5.01 |
Where Ohio sits
The same service costs 4.5 times more in Alaska 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· 39th of 51
$4.47
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.