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 $11.22 Median $25.70 Typical High $42.66 | Facility | None | $11.22 | $25.70 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $43.65 | Professional | None | $9.33 | $11.75 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $7.08 Typical High $18.20 | Professional | None | $6.17 | $7.08 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $13.80 Typical High $21.88 | Facility | None | $9.55 | $13.80 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $14.79 | Professional | None | $5.75 | $6.17 | $14.79 |
Aultcare Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aultcare Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $13.49 | Facility | None | $9.33 | $9.33 | $13.49 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $15.85 | Professional | None | $7.59 | $11.75 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $14.13 Typical High $34.67 | Facility | None | $7.76 | $14.13 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $16.60 | Professional | None | $5.89 | $7.59 | $16.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $7.76 Median $16.60 Typical High $34.67 | Facility | None | $7.76 | $16.60 | $34.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $16.22 | Professional | None | $5.01 | $6.46 | $16.22 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $14.13 | Professional | None | $6.46 | $8.32 | $14.13 |
SummaCare Setting Professional Modifier None Typical Low $7.59 Median $10.00 Typical High $16.22 | Professional | None | $7.59 | $10.00 | $16.22 |
United Setting Facility Modifier None Typical Low $4.27 Median $10.47 Typical High $17.78 | Facility | None | $4.27 | $10.47 | $17.78 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.32 Typical High $16.98 | Professional | None | $4.90 | $8.32 | $16.98 |
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 $5.62 Median $12.88 Typical High $21.38 | Facility | 52 · Reduced service | $5.62 | $12.88 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $5.13 Typical High $8.51 | Facility | 53 · Discontinued | $2.24 | $5.13 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.62 Typical High $39.81 | Professional | 52 · Reduced service | $4.68 | $5.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.24 Typical High $15.85 | Professional | 53 · Discontinued | $1.86 | $2.24 | $15.85 |
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· 44th of 51
$9.77
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.