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 $43.65 Median $75.86 Typical High $109.65 | Facility | None | $43.65 | $75.86 | $109.65 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $15.14 Median $30.90 Typical High $41.69 | Facility | 52 · Reduced service | $15.14 | $30.90 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $12.30 Typical High $16.98 | Facility | 53 · Discontinued | $6.03 | $12.30 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $114.82 | Professional | None | $25.70 | $25.70 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $57.54 | Professional | 52 · Reduced service | $12.88 | $12.88 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $23.44 | Professional | 53 · Discontinued | $5.13 | $5.13 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $44.67 | Professional | None | $13.49 | $15.85 | $44.67 |
Aultcare Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | None | $31.62 | $31.62 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $97.72 | Facility | None | $32.36 | $42.66 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $46.77 | Professional | None | $15.49 | $16.60 | $46.77 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $97.72 | Facility | None | $35.48 | $43.65 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $46.77 | Professional | None | $15.85 | $16.60 | $46.77 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $56.23 | Professional | None | $28.18 | $41.69 | $56.23 |
SummaCare Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | None | $33.11 | $38.90 | $54.95 |
United Setting Professional Modifier None Typical Low $15.85 Median $31.62 Typical High $44.67 | Professional | None | $15.85 | $31.62 | $44.67 |
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 XU · Unusual separate service Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | XU · Unusual separate service | $41.69 | $41.69 | $41.69 |
Where Ohio sits
The same service costs 6.0 times more in Alaska than in Nevada. 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· 49th of 51
$25.70
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.