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 $17.78 Median $54.95 Typical High $102.33 | Facility | None | $17.78 | $54.95 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $295.12 | Professional | None | $19.50 | $30.20 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $69.18 | Facility | None | $30.90 | $43.65 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $42.66 | Professional | None | $4.79 | $5.13 | $42.66 |
Aultcare Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $43.65 | Facility | None | $12.02 | $12.02 | $43.65 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $39.81 Typical High $69.18 | Facility | None | $9.33 | $39.81 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $53.70 | Professional | None | $17.38 | $20.42 | $53.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.49 Median $43.65 Typical High $69.18 | Facility | None | $15.49 | $43.65 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $46.77 | Professional | None | $16.60 | $17.38 | $46.77 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $45.71 | Professional | None | $20.89 | $25.70 | $45.71 |
SummaCare Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $45.71 | Professional | None | $24.55 | $32.36 | $45.71 |
United Setting Facility Modifier None Typical Low $13.49 Median $33.88 Typical High $56.23 | Facility | None | $13.49 | $33.88 | $56.23 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $52.48 | Professional | None | $5.01 | $7.24 | $52.48 |
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 $6.31 Median $26.92 Typical High $45.71 | Facility | 52 · Reduced service | $6.31 | $26.92 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $10.96 Typical High $18.20 | Facility | 53 · Discontinued | $2.51 | $10.96 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $194.98 | Professional | 52 · Reduced service | $15.14 | $15.14 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $79.43 | Professional | 53 · Discontinued | $6.03 | $6.03 | $79.43 |
Where Ohio sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 21st of 51
$25.70
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.