How much rates vary
Facilitymedian $8 · 10th to 90th $5 to $26Professionalmedian $4 · 10th to 90th $2 to $9
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 $4.79 Median $11.48 Typical High $19.05 | Facility | None | $4.79 | $11.48 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $6.61 Typical High $20.89 | Professional | None | $4.17 | $6.61 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $7.94 | Professional | None | $3.09 | $3.09 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.17 Median $6.03 Typical High $9.55 | Facility | None | $4.17 | $6.03 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $4.57 | Professional | None | $2.09 | $2.57 | $4.57 |
Aultcare Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Aultcare Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $6.03 | Facility | None | $4.07 | $4.07 | $6.03 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $6.92 | Professional | None | $3.39 | $5.13 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.17 Typical High $19.50 | Facility | None | $3.39 | $6.17 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.47 Typical High $9.12 | Professional | None | $2.63 | $3.47 | $9.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $6.03 Median $21.38 Typical High $81.28 | Facility | None | $6.03 | $21.38 | $81.28 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.63 Median $3.47 Typical High $9.12 | Professional | None | $2.63 | $3.47 | $9.12 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $3.89 Typical High $6.17 | Professional | None | $2.82 | $3.89 | $6.17 |
SummaCare Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $10.23 | Professional | None | $3.39 | $4.90 | $10.23 |
United Setting Facility Modifier None Typical Low $1.86 Median $4.68 Typical High $7.76 | Facility | None | $1.86 | $4.68 | $7.76 |
United Setting Professional Modifier None Typical Low $2.57 Median $5.13 Typical High $7.41 | Professional | None | $2.57 | $5.13 | $7.41 |
7 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 $2.45 Median $5.75 Typical High $10.47 | Facility | 52 · Reduced service | $2.45 | $5.75 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.98 Median $2.29 Typical High $4.27 | Facility | 53 · Discontinued | $0.98 | $2.29 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.45 Typical High $12.59 | Professional | 52 · Reduced service | $2.04 | $2.45 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.98 Typical High $5.01 | Professional | 53 · Discontinued | $0.83 | $0.98 | $5.01 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $2.19 Median $2.57 Typical High $5.01 | Professional | QW · Waived lab test | $2.19 | $2.57 | $5.01 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.55 Median $5.89 Typical High $8.32 | Professional | QW · Waived lab test | $3.55 | $5.89 | $8.32 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $3.39 Median $4.37 Typical High $6.17 | Professional | QW · Waived lab test | $3.39 | $4.37 | $6.17 |
Where Ohio sits
The same service costs 12.6 times more in Minnesota than in Washington, DC. 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
$4.79
MN $52.48DC $4.17
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.