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 $15.85 Median $36.31 Typical High $61.66 | Facility | None | $15.85 | $36.31 | $61.66 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.94 Median $18.62 Typical High $30.90 | Facility | 52 · Reduced service | $7.94 | $18.62 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $7.41 Typical High $12.30 | Facility | 53 · Discontinued | $3.16 | $7.41 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $1,318.26 | Professional | None | $13.49 | $13.49 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.94 Typical High $691.83 | Professional | 52 · Reduced service | $6.76 | $7.94 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $275.42 | Professional | 53 · Discontinued | $2.69 | $3.16 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $30.90 | Facility | None | $13.80 | $19.50 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $20.42 | Professional | None | $7.08 | $7.59 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $19.50 | Facility | None | $13.18 | $13.18 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $57.54 | Facility | None | $11.22 | $20.89 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $23.99 | Professional | None | $7.76 | $9.12 | $23.99 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $11.22 Median $22.39 Typical High $93.33 | Facility | None | $11.22 | $22.39 | $93.33 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $19.95 | Professional | None | $7.76 | $9.12 | $19.95 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $20.42 | Professional | None | $9.33 | $11.75 | $20.42 |
SummaCare Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $20.42 | Professional | None | $10.96 | $14.45 | $20.42 |
United Setting Facility Modifier None Typical Low $6.03 Median $15.14 Typical High $25.12 | Facility | None | $6.03 | $15.14 | $25.12 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $23.99 | Professional | None | $7.08 | $10.23 | $23.99 |
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 $8.51 Median $8.51 Typical High $8.51 | Professional | 90 · Outside lab | $8.51 | $8.51 | $8.51 |
Where Ohio sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$13.49
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.