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 $10.72 Median $20.89 Typical High $32.36 | Facility | None | $10.72 | $20.89 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $602.56 | Professional | None | $9.55 | $10.47 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $22.39 | Facility | None | $9.77 | $14.13 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $14.13 | Professional | None | $4.79 | $5.13 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $13.80 | Facility | None | $12.02 | $12.02 | $13.80 |
CareSource Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $14.13 Typical High $26.30 | Facility | None | $7.94 | $14.13 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $6.61 Typical High $16.98 | Professional | None | $5.50 | $6.61 | $16.98 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $7.76 Median $14.13 Typical High $29.51 | Facility | None | $7.76 | $14.13 | $29.51 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $14.13 | Professional | None | $5.01 | $5.50 | $14.13 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $14.45 | Professional | None | $6.61 | $9.12 | $14.45 |
SummaCare Setting Professional Modifier None Typical Low $7.76 Median $10.23 Typical High $14.45 | Professional | None | $7.76 | $10.23 | $14.45 |
United Setting Facility Modifier None Typical Low $4.37 Median $10.96 Typical High $18.20 | Facility | None | $4.37 | $10.96 | $18.20 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $17.38 | Professional | None | $5.01 | $7.24 | $17.38 |
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 $4.79 Median $8.71 Typical High $14.45 | Facility | 52 · Reduced service | $4.79 | $8.71 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $3.47 Typical High $5.75 | Facility | 53 · Discontinued | $1.95 | $3.47 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $426.58 | Professional | 52 · Reduced service | $4.79 | $4.79 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $173.78 | Professional | 53 · Discontinued | $1.95 | $1.95 | $173.78 |
Where Ohio sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 36th of 51
$9.55
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.