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 $15.14 Median $38.02 Typical High $51.29 | Facility | None | $15.14 | $38.02 | $51.29 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.61 Median $15.49 Typical High $30.20 | Facility | 52 · Reduced service | $6.61 | $15.49 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $6.17 Typical High $12.02 | Facility | 53 · Discontinued | $2.69 | $6.17 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $79.43 | Professional | None | $10.47 | $11.22 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.61 Typical High $41.69 | Professional | 52 · Reduced service | $5.62 | $6.61 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.69 Typical High $16.60 | Professional | 53 · Discontinued | $2.29 | $2.69 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $16.60 Typical High $26.30 | Facility | None | $11.48 | $16.60 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $16.60 | Professional | None | $5.62 | $6.03 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $16.22 | Facility | None | $10.96 | $10.96 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $16.98 Typical High $70.79 | Facility | None | $9.33 | $16.98 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $18.62 | Professional | None | $6.46 | $6.76 | $18.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $9.12 Median $18.62 Typical High $70.79 | Facility | None | $9.12 | $18.62 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $15.14 | Professional | None | $6.46 | $6.76 | $15.14 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $16.98 | Professional | None | $7.76 | $9.77 | $16.98 |
SummaCare Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $16.98 | Professional | None | $9.12 | $12.02 | $16.98 |
United Setting Facility Modifier None Typical Low $5.13 Median $12.88 Typical High $21.38 | Facility | None | $5.13 | $12.88 | $21.38 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $19.50 | Professional | None | $5.89 | $8.51 | $19.50 |
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 90 · Outside lab Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 90 · Outside lab | $8.91 | $8.91 | $8.91 |
Where Ohio sits
The same service costs 3.4 times more in Alaska 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· 38th of 51
$11.22
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.