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 $11.48 Median $26.30 Typical High $44.67 | Facility | None | $11.48 | $26.30 | $44.67 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $5.75 Median $13.18 Typical High $48.98 | Facility | 52 · Reduced service | $5.75 | $13.18 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $5.25 Typical High $19.50 | Facility | 53 · Discontinued | $2.29 | $5.25 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $79.43 | Professional | None | $9.55 | $14.45 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.75 Typical High $48.98 | Professional | 52 · Reduced service | $4.79 | $5.75 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.29 Typical High $19.50 | Professional | 53 · Discontinued | $1.95 | $2.29 | $19.50 |
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 $5.89 Median $6.31 Typical High $15.49 | Professional | None | $5.89 | $6.31 | $15.49 |
Aultcare Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $11.75 Typical High $13.80 | Facility | None | $9.33 | $11.75 | $13.80 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $16.22 | Professional | None | $7.76 | $12.02 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $57.54 | Facility | None | $7.94 | $14.45 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $35.48 | Professional | None | $14.13 | $16.60 | $35.48 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.88 Median $21.88 Typical High $57.54 | Facility | None | $12.88 | $21.88 | $57.54 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9.77 Median $15.49 Typical High $36.31 | Professional | None | $9.77 | $15.49 | $36.31 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $20.89 | Professional | None | $6.61 | $9.55 | $20.89 |
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 $12.02 Typical High $36.31 | Facility | None | $4.37 | $12.02 | $36.31 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $17.38 | Professional | None | $5.01 | $7.24 | $17.38 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 90 · Outside lab | $8.32 | $8.32 | $8.32 |
Where Ohio sits
The same service costs 3.9 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
$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.