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 $5.37 Median $12.59 Typical High $20.42 | Facility | None | $5.37 | $12.59 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $7.08 Typical High $21.88 | Professional | None | $4.57 | $7.08 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $2.95 Median $3.39 Typical High $8.71 | Professional | None | $2.95 | $3.39 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $6.61 Typical High $10.47 | Facility | None | $4.57 | $6.61 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $7.08 | Professional | None | $2.82 | $2.95 | $7.08 |
Aultcare Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aultcare Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | None | $3.98 | $3.98 | $4.57 |
CareSource Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $6.46 | Facility | None | $5.62 | $5.62 | $6.46 |
CareSource Setting Professional Modifier None Typical Low $3.72 Median $5.62 Typical High $7.59 | Professional | None | $3.72 | $5.62 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $6.76 Typical High $19.05 | Facility | None | $3.72 | $6.76 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.63 Typical High $8.32 | Professional | None | $2.82 | $3.63 | $8.32 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $6.03 Median $12.02 Typical High $53.70 | Facility | None | $6.03 | $12.02 | $53.70 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.29 Median $3.72 Typical High $8.91 | Professional | None | $2.29 | $3.72 | $8.91 |
Molina Setting Professional Modifier None Typical Low $3.09 Median $3.98 Typical High $6.76 | Professional | None | $3.09 | $3.98 | $6.76 |
SummaCare Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $10.23 | Professional | None | $3.72 | $5.37 | $10.23 |
United Setting Facility Modifier None Typical Low $2.04 Median $5.13 Typical High $8.51 | Facility | None | $2.04 | $5.13 | $8.51 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.07 Typical High $8.13 | Professional | None | $2.40 | $4.07 | $8.13 |
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 $2.69 Median $6.31 Typical High $10.23 | Facility | 52 · Reduced service | $2.69 | $6.31 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.51 Typical High $4.07 | Facility | 53 · Discontinued | $1.07 | $2.51 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.69 Typical High $23.99 | Professional | 52 · Reduced service | $2.29 | $2.69 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $1.07 Typical High $9.55 | Professional | 53 · Discontinued | $0.91 | $1.07 | $9.55 |
Where Ohio sits
The same service costs 13.5 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· 41st of 51
$5.01
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.