How much rates vary
Facilitymedian $24 · 10th to 90th $13 to $51Professionalmedian $12 · 10th to 90th $8 to $28
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 $15.49 Median $35.48 Typical High $54.95 | Facility | None | $15.49 | $35.48 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $54.95 | Professional | None | $12.59 | $18.20 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $29.51 | Professional | None | $8.32 | $8.32 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $30.20 | Facility | None | $13.49 | $19.05 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $17.78 | Professional | None | $8.13 | $11.48 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $19.05 | Facility | None | $12.30 | $12.30 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $22.39 | Professional | None | $10.72 | $16.60 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $36.31 | Facility | None | $10.96 | $19.95 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $21.38 | Professional | None | $7.59 | $10.72 | $21.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.14 Median $30.20 Typical High $72.44 | Facility | None | $15.14 | $30.20 | $72.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $21.38 | Professional | None | $7.59 | $10.72 | $21.38 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $19.95 | Professional | None | $9.12 | $12.30 | $19.95 |
SummaCare Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $43.65 | Professional | None | $12.30 | $17.38 | $43.65 |
United Setting Facility Modifier None Typical Low $5.89 Median $14.79 Typical High $24.55 | Facility | None | $5.89 | $14.79 | $24.55 |
United Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $19.95 | Professional | None | $9.77 | $15.85 | $19.95 |
7 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 $7.76 Median $15.85 Typical High $30.20 | Facility | 52 · Reduced service | $7.76 | $15.85 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $6.31 Typical High $12.02 | Facility | 53 · Discontinued | $3.09 | $6.31 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $7.76 Typical High $30.20 | Professional | 52 · Reduced service | $6.61 | $7.76 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.09 Typical High $12.30 | Professional | 53 · Discontinued | $2.63 | $3.09 | $12.30 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $8.71 Typical High $16.22 | Professional | QW · Waived lab test | $7.08 | $8.71 | $16.22 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $18.62 Typical High $25.70 | Professional | QW · Waived lab test | $11.48 | $18.62 | $25.70 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $14.13 Typical High $19.95 | Professional | QW · Waived lab test | $10.72 | $14.13 | $19.95 |
Where Ohio sits
The same service costs 5.2 times more in Alaska than in Alabama. 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· 36th of 51
$15.14
AK $54.95AL $10.47
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.