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 $12.59 Median $33.88 Typical High $46.77 | Facility | None | $12.59 | $33.88 | $46.77 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.03 Median $13.80 Typical High $22.91 | Facility | 52 · Reduced service | $6.03 | $13.80 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $5.62 Typical High $9.12 | Facility | 53 · Discontinued | $2.40 | $5.62 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $75.86 | Professional | None | $10.23 | $15.14 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $6.03 Typical High $54.95 | Professional | 52 · Reduced service | $5.13 | $6.03 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.40 Typical High $21.88 | Professional | 53 · Discontinued | $2.04 | $2.40 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $23.44 | Facility | None | $10.23 | $14.79 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $6.61 Typical High $15.85 | Professional | None | $6.31 | $6.61 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $14.45 | Facility | None | $10.23 | $10.23 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $42.66 | Facility | None | $8.32 | $15.14 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $18.20 | Professional | None | $6.46 | $7.94 | $18.20 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $8.32 Median $16.60 Typical High $47.86 | Facility | None | $8.32 | $16.60 | $47.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $17.78 | Professional | None | $6.46 | $7.94 | $17.78 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $15.14 | Professional | None | $6.92 | $8.91 | $15.14 |
SummaCare Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $15.14 | Professional | None | $8.32 | $10.72 | $15.14 |
United Setting Facility Modifier None Typical Low $4.57 Median $11.48 Typical High $19.05 | Facility | None | $4.57 | $11.48 | $19.05 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $18.20 | Professional | None | $5.37 | $7.76 | $18.20 |
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 GY · Excluded by law Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | GY · Excluded by law | $8.71 | $8.71 | $8.71 |
Where Ohio sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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
$10.23
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.