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 $16.98 Median $34.67 Typical High $66.07 | Facility | None | $16.98 | $34.67 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $67.61 | Professional | None | $14.45 | $18.20 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $28.18 | Professional | None | $11.22 | $12.59 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $20.89 Typical High $33.11 | Facility | None | $14.79 | $20.89 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $22.91 | Professional | None | $8.91 | $9.55 | $22.91 |
Aultcare Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aultcare Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $20.89 | Facility | None | $14.45 | $14.45 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $18.20 Typical High $24.55 | Professional | None | $11.75 | $18.20 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $39.81 | Facility | None | $12.02 | $21.88 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $25.70 | Professional | None | $9.33 | $11.48 | $25.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.02 Median $27.54 Typical High $109.65 | Facility | None | $12.02 | $27.54 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $25.12 | Professional | None | $7.24 | $10.72 | $25.12 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $21.88 | Professional | None | $10.00 | $12.88 | $21.88 |
SummaCare Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $25.12 | Professional | None | $11.75 | $15.49 | $25.12 |
United Setting Facility Modifier None Typical Low $6.46 Median $16.22 Typical High $26.92 | Facility | None | $6.46 | $16.22 | $26.92 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $25.12 | Professional | None | $7.59 | $10.96 | $25.12 |
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 $8.51 Median $17.38 Typical High $33.11 | Facility | 52 · Reduced service | $8.51 | $17.38 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $6.92 Typical High $13.18 | Facility | 53 · Discontinued | $3.39 | $6.92 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $8.51 Typical High $63.10 | Professional | 52 · Reduced service | $7.24 | $8.51 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $25.12 | Professional | 53 · Discontinued | $2.88 | $3.39 | $25.12 |
Where Ohio sits
The same service costs 4.5 times more in Alaska 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· 45th of 51
$14.45
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.