How much rates vary
Facilitymedian $389 · 10th to 90th $155 to $537Professionalmedian $141 · 10th to 90th $112 to $195
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 $158.49 Median $389.05 Typical High $537.03 | Facility | None | $158.49 | $389.05 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | None | $125.89 | $162.18 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $199.53 | Professional | None | $112.20 | $162.18 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $199.53 | Professional | None | $104.71 | $123.03 | $199.53 |
Aultcare Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $275.42 | Professional | None | $131.83 | $177.83 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $138.04 Median $186.21 Typical High $186.21 | Facility | None | $138.04 | $186.21 | $186.21 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $257.04 | Professional | None | $151.36 | $186.21 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $194.98 | Professional | None | $97.72 | $97.72 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $154.88 | Professional | None | $120.23 | $125.89 | $154.88 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $275.42 | Professional | None | $162.18 | $190.55 | $275.42 |
Optum Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
SummaCare Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $208.93 | Professional | None | $128.82 | $165.96 | $208.93 |
United Setting Facility Modifier None Typical Low $363.08 Median $426.58 Typical High $602.56 | Facility | None | $363.08 | $426.58 | $602.56 |
United Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $194.98 | Professional | None | $134.90 | $147.91 | $194.98 |
9 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 $165.96 Median $190.55 Typical High $194.98 | Facility | AF · Specialist physician | $165.96 | $190.55 | $194.98 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $125.89 Median $141.25 Typical High $147.91 | Facility | HO · Master's level | $125.89 | $141.25 | $147.91 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $141.25 Median $162.18 Typical High $165.96 | Facility | TD · Registered nurse | $141.25 | $162.18 | $165.96 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $120.23 Median $165.96 Typical High $194.98 | Professional | AF · Specialist physician | $120.23 | $165.96 | $194.98 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $125.89 Median $141.25 Typical High $147.91 | Professional | HO · Master's level | $125.89 | $141.25 | $147.91 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $60.26 Median $141.25 Typical High $162.18 | Professional | TD · Registered nurse | $60.26 | $141.25 | $162.18 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | GC · Resident with teaching physician | $208.93 | $223.87 | $275.42 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | KX · Policy requirements met | $120.23 | $120.23 | $151.36 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | SA · Nurse practitioner | $134.90 | $165.96 | $165.96 |
Where Ohio sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 44th of 51
$141
ND $295KY $132
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.