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 $15.14 Median $33.11 Typical High $54.95 | Facility | None | $15.14 | $33.11 | $54.95 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.08 Median $16.60 Typical High $27.54 | Facility | 52 · Reduced service | $7.08 | $16.60 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $125.89 | Professional | None | $12.02 | $13.18 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $7.08 Typical High $87.10 | Professional | 52 · Reduced service | $6.03 | $7.08 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $17.38 Typical High $27.54 | Facility | None | $12.30 | $17.38 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $7.94 Typical High $19.05 | Professional | None | $7.41 | $7.94 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $17.38 | Facility | None | $11.48 | $11.48 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $18.20 Typical High $56.23 | Facility | None | $10.00 | $18.20 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $21.88 | Professional | None | $7.59 | $9.55 | $21.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $10.00 Median $19.95 Typical High $57.54 | Facility | None | $10.00 | $19.95 | $57.54 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4.37 Median $8.13 Typical High $20.89 | Professional | None | $4.37 | $8.13 | $20.89 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $18.20 | Professional | None | $8.32 | $11.22 | $18.20 |
SummaCare Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $20.42 | Professional | None | $9.77 | $12.88 | $20.42 |
United Setting Facility Modifier None Typical Low $5.37 Median $15.14 Typical High $60.26 | Facility | None | $5.37 | $15.14 | $60.26 |
United Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $21.38 | Professional | None | $6.31 | $9.33 | $21.38 |
2 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 53 · Discontinued Typical Low $2.82 Median $6.46 Typical High $10.96 | Facility | 53 · Discontinued | $2.82 | $6.46 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.57 Typical High $34.67 | Professional | 53 · Discontinued | $2.40 | $2.57 | $34.67 |
Where Ohio sits
The same service costs 3.0 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· 44th of 51
$12.02
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.