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 $19.95 Median $44.67 Typical High $75.86 | Facility | None | $19.95 | $44.67 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $77.62 | Professional | None | $16.60 | $25.12 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $32.36 | Professional | None | $10.47 | $10.47 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $23.99 Typical High $38.02 | Facility | None | $16.98 | $23.99 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $26.30 | Professional | None | $10.23 | $10.96 | $26.30 |
Aultcare Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aultcare Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $23.99 | Facility | None | $16.60 | $16.60 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $28.18 | Professional | None | $13.49 | $20.89 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $47.86 | Facility | None | $13.80 | $25.12 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $30.20 | Professional | None | $10.47 | $13.18 | $30.20 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.49 Median $30.20 Typical High $79.43 | Facility | None | $13.49 | $30.20 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.48 Median $11.22 Typical High $28.84 | Professional | None | $1.48 | $11.22 | $28.84 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $25.12 | Professional | None | $11.48 | $15.49 | $25.12 |
SummaCare Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $25.12 | Professional | None | $13.49 | $17.78 | $25.12 |
United Setting Facility Modifier None Typical Low $7.41 Median $18.62 Typical High $30.90 | Facility | None | $7.41 | $18.62 | $30.90 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $28.84 | Professional | None | $8.51 | $12.59 | $28.84 |
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 $9.77 Median $20.42 Typical High $38.02 | Facility | 52 · Reduced service | $9.77 | $20.42 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $8.13 Typical High $15.14 | Facility | 53 · Discontinued | $3.89 | $8.13 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $9.77 Typical High $60.26 | Professional | 52 · Reduced service | $8.32 | $9.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.89 Typical High $23.99 | Professional | 53 · Discontinued | $3.31 | $3.89 | $23.99 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 45th of 51
$16.60
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.