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 $12.30 Median $24.55 Typical High $46.77 | Facility | None | $12.30 | $24.55 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $47.86 | Professional | None | $10.47 | $14.45 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $19.95 | Professional | None | $7.76 | $7.76 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $23.99 | Facility | None | $10.47 | $15.14 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $16.22 | Professional | None | $6.46 | $6.76 | $16.22 |
Aultcare Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aultcare Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $14.79 | Facility | None | $10.47 | $10.47 | $14.79 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $17.38 | Professional | None | $8.51 | $12.88 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $28.18 | Facility | None | $8.51 | $15.49 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $18.62 | Professional | None | $6.61 | $8.13 | $18.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $75.86 | Facility | None | $11.48 | $19.95 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4.90 Median $8.13 Typical High $17.78 | Professional | None | $4.90 | $8.13 | $17.78 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $15.49 | Professional | None | $7.08 | $9.77 | $15.49 |
SummaCare Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $25.70 | Professional | None | $8.51 | $10.96 | $25.70 |
United Setting Facility Modifier None Typical Low $4.68 Median $11.75 Typical High $19.50 | Facility | None | $4.68 | $11.75 | $19.50 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $18.62 | Professional | None | $5.50 | $9.12 | $18.62 |
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 $6.17 Median $12.30 Typical High $23.44 | Facility | 52 · Reduced service | $6.17 | $12.30 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $4.90 Typical High $9.33 | Facility | 53 · Discontinued | $2.45 | $4.90 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $6.03 Typical High $43.65 | Professional | 52 · Reduced service | $5.13 | $6.03 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.45 Typical High $17.78 | Professional | 53 · Discontinued | $2.04 | $2.45 | $17.78 |
Where Ohio sits
The same service costs 8.3 times more in Vermont 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· 43rd of 51
$10.72
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.