How much rates vary
Facilitymedian $129 · 10th to 90th $58 to $219Professionalmedian $56 · 10th to 90th $49 to $81
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 $57.54 Median $128.82 Typical High $218.78 | Facility | None | $57.54 | $128.82 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $75.86 | Professional | None | $51.29 | $64.57 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $83.18 | Professional | None | $43.65 | $61.66 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $83.18 | Professional | None | $41.69 | $48.98 | $83.18 |
Aultcare Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $83.18 | Professional | None | $46.77 | $56.23 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $77.62 | Facility | None | $58.88 | $77.62 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $107.15 | Professional | None | $63.10 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $81.28 | Professional | None | $42.66 | $48.98 | $81.28 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $186.21 | Facility | None | $128.82 | $181.97 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $58.88 | Professional | None | $48.98 | $54.95 | $58.88 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $134.90 | Professional | None | $63.10 | $95.50 | $134.90 |
Optum Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
SummaCare Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $89.13 | Professional | None | $52.48 | $72.44 | $89.13 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
17 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 $67.61 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $67.61 | $75.86 | $79.43 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $51.29 Median $57.54 Typical High $58.88 | Facility | HO · Master's level | $51.29 | $57.54 | $58.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $57.54 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $57.54 | $64.57 | $67.61 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $47.86 Median $54.95 Typical High $81.28 | Professional | AF · Specialist physician | $47.86 | $54.95 | $81.28 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $51.29 Median $57.54 Typical High $60.26 | Professional | HO · Master's level | $51.29 | $57.54 | $60.26 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $57.54 Median $64.57 Typical High $69.18 | Professional | TD · Registered nurse | $57.54 | $64.57 | $69.18 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $60.26 Median $60.26 Typical High $83.18 | Professional | 93 · Audio-only telehealth | $60.26 | $60.26 | $83.18 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | HO · Master's level | $51.29 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier HP · Doctoral level Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | HP · Doctoral level | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | KX · Policy requirements met | $46.77 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | SA · Nurse practitioner | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier U2 · State-defined Typical Low $31.62 Median $51.29 Typical High $51.29 | Professional | U2 · State-defined | $31.62 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | U3 · State-defined | $56.23 | $56.23 | $57.54 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $31.62 Median $31.62 Typical High $60.26 | Professional | U4 · State-defined | $31.62 | $31.62 | $60.26 |
Ambetter Setting Professional Modifier U6 · State-defined Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | U6 · State-defined | $57.54 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier U7 · State-defined Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | U7 · State-defined | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier U9 · State-defined Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | U9 · State-defined | $51.29 | $51.29 | $51.29 |
Where Ohio sits
The same service costs 1.9 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· 48th of 51
$56.23
ND $100KY $53.70
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.