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 $12.30 Median $28.84 Typical High $47.86 | Facility | None | $12.30 | $28.84 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $47.86 | Professional | None | $10.47 | $15.49 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $20.42 | Professional | None | $7.76 | $7.76 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $23.99 | Facility | None | $10.47 | $15.14 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.92 Typical High $16.60 | Professional | None | $6.46 | $6.92 | $16.60 |
Aultcare Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aultcare Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $15.14 | Facility | None | $10.47 | $10.47 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $17.78 | Professional | None | $8.51 | $13.18 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $15.85 Typical High $43.65 | Facility | None | $8.51 | $15.85 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $18.62 | Professional | None | $6.61 | $8.32 | $18.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.30 Median $18.62 Typical High $60.26 | Facility | None | $12.30 | $18.62 | $60.26 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.46 Median $8.51 Typical High $18.20 | Professional | None | $6.46 | $8.51 | $18.20 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $15.49 | Professional | None | $7.24 | $9.12 | $15.49 |
SummaCare Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $25.70 | Professional | None | $8.51 | $10.96 | $25.70 |
United Setting Facility Modifier None Typical Low $4.68 Median $11.75 Typical High $19.50 | Facility | None | $4.68 | $11.75 | $19.50 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $18.62 | Professional | None | $5.50 | $7.94 | $18.62 |
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 $6.17 Median $14.45 Typical High $23.99 | Facility | 52 · Reduced service | $6.17 | $14.45 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $5.75 Typical High $9.55 | Facility | 53 · Discontinued | $2.45 | $5.75 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $6.17 Typical High $41.69 | Professional | 52 · Reduced service | $5.25 | $6.17 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.45 Typical High $16.60 | Professional | 53 · Discontinued | $2.09 | $2.45 | $16.60 |
Where Ohio sits
The same service costs 10.2 times more in Vermont 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· 39th of 51
$10.96
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.