How much rates vary
Facilitymedian $30 · 10th to 90th $11 to $47Professionalmedian $10 · 10th to 90th $10 to $14
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 $10.96 Median $30.20 Typical High $46.77 | Facility | None | $10.96 | $30.20 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $14.45 | Professional | None | $9.55 | $12.30 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $10.72 Typical High $13.49 | Professional | None | $8.13 | $10.72 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $14.45 | Professional | None | $8.32 | $9.77 | $14.45 |
Aultcare Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $13.18 | Professional | None | $7.76 | $9.77 | $13.18 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $13.80 Typical High $14.13 | Facility | None | $10.47 | $13.80 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $19.50 | Professional | None | $11.48 | $14.13 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $14.45 | Professional | None | $2.82 | $3.24 | $14.45 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $63.10 | Facility | None | $33.11 | $33.11 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $10.96 | Professional | None | $9.55 | $10.47 | $10.96 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $13.80 | Professional | None | $11.75 | $13.80 | $13.80 |
Optum Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
SummaCare Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | None | $12.30 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
11 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 AF · Specialist physician Typical Low $12.88 Median $14.45 Typical High $14.79 | Facility | AF · Specialist physician | $12.88 | $14.45 | $14.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $9.55 Median $10.72 Typical High $10.96 | Facility | HO · Master's level | $9.55 | $10.72 | $10.96 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $10.96 Median $12.30 Typical High $12.59 | Facility | TD · Registered nurse | $10.96 | $12.30 | $12.59 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $3.55 Median $12.88 Typical High $16.60 | Professional | AF · Specialist physician | $3.55 | $12.88 | $16.60 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $2.63 Median $9.55 Typical High $12.30 | Professional | HO · Master's level | $2.63 | $9.55 | $12.30 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $3.02 Median $10.96 Typical High $14.13 | Professional | TD · Registered nurse | $3.02 | $10.96 | $14.13 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | SA · Nurse practitioner | $8.13 | $8.13 | $8.13 |
Ambetter Setting Professional Modifier U2 · State-defined Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | U2 · State-defined | $10.00 | $10.00 | $10.00 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | U4 · State-defined | $12.88 | $12.88 | $12.88 |
Ambetter Setting Professional Modifier U6 · State-defined Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | U6 · State-defined | $10.00 | $10.00 | $10.00 |
Ambetter Setting Professional Modifier U7 · State-defined Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | U7 · State-defined | $12.88 | $12.88 | $13.18 |
Where Ohio sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 48th of 51
$10.47
AK $18.20GA $10.00
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.