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 $63.10 Median $169.82 Typical High $223.87 | Facility | None | $63.10 | $169.82 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $251.19 | Professional | None | $63.10 | $74.13 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $93.33 Typical High $151.36 | Professional | None | $34.67 | $93.33 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $194.98 | Professional | None | $41.69 | $44.67 | $194.98 |
Aultcare Setting Professional Modifier None Typical Low $46.77 Median $120.23 Typical High $165.96 | Professional | None | $46.77 | $120.23 | $165.96 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $245.47 | Facility | None | $77.62 | $102.33 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $123.03 | Professional | None | $39.81 | $50.12 | $123.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $346.74 | Facility | None | $79.43 | $104.71 | $346.74 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $134.90 | Professional | None | $39.81 | $50.12 | $134.90 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $162.18 | Professional | None | $53.70 | $109.65 | $162.18 |
SummaCare Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $144.54 | Professional | None | $69.18 | $95.50 | $144.54 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $125.89 | Facility | None | $77.62 | $89.13 | $125.89 |
United Setting Professional Modifier None Typical Low $47.86 Median $85.11 Typical High $144.54 | Professional | None | $47.86 | $85.11 | $144.54 |
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 $37.15 Median $83.18 Typical High $112.20 | Facility | 52 · Reduced service | $37.15 | $83.18 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $33.11 Typical High $44.67 | Facility | 53 · Discontinued | $14.79 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $14.79 | $15.14 |
Where Ohio sits
The same service costs 4.5 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· 42nd of 51
$79.43
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.