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 $38.90 Median $89.13 Typical High $134.90 | Facility | None | $38.90 | $89.13 | $134.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.05 Median $38.90 Typical High $74.13 | Facility | 52 · Reduced service | $19.05 | $38.90 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $15.49 Typical High $29.51 | Facility | 53 · Discontinued | $7.59 | $15.49 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $147.91 | Professional | None | $32.36 | $32.36 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $74.13 | Professional | 52 · Reduced service | $16.22 | $16.22 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $29.51 | Professional | 53 · Discontinued | $6.46 | $6.46 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $46.77 Typical High $74.13 | Facility | None | $33.11 | $46.77 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $51.29 | Professional | None | $17.38 | $17.38 | $51.29 |
Aultcare Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | None | $40.74 | $40.74 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $48.98 Typical High $165.96 | Facility | None | $39.81 | $48.98 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $67.61 | Professional | None | $18.62 | $20.89 | $67.61 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $165.96 | Facility | None | $32.36 | $53.70 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $60.26 | Professional | None | $18.62 | $20.89 | $60.26 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $50.12 | Professional | None | $27.54 | $36.31 | $50.12 |
SummaCare Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $74.13 | Professional | None | $34.67 | $50.12 | $74.13 |
United Setting Facility Modifier None Typical Low $14.45 Median $36.31 Typical High $60.26 | Facility | None | $14.45 | $36.31 | $60.26 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $57.54 | Professional | None | $16.98 | $24.55 | $57.54 |
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 59 · Distinct service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $24.55 | $24.55 | $24.55 |
Where Ohio sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 46th of 51
$32.36
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.