How much rates vary
Facilitymedian $339 · 10th to 90th $107 to $437Professionalmedian $107 · 10th to 90th $87 to $170
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 $107.15 Median $338.84 Typical High $436.52 | Facility | None | $107.15 | $338.84 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | None | $95.50 | $123.03 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $128.82 | Professional | None | $89.13 | $117.49 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $162.18 | Professional | None | $93.33 | $109.65 | $162.18 |
Aultcare Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $158.49 | Professional | None | $87.10 | $104.71 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $147.91 | Facility | None | $112.20 | $147.91 | $147.91 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $199.53 | Professional | None | $117.49 | $147.91 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $223.87 | Professional | None | $102.33 | $223.87 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $114.82 | Professional | None | $85.11 | $95.50 | $114.82 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $218.78 | Professional | None | $138.04 | $162.18 | $218.78 |
Optum Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | None | $107.15 | $107.15 | $141.25 |
SummaCare Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | None | $134.90 | $141.25 | $165.96 |
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 $107.15 Median $107.15 Typical High $154.88 | Professional | None | $107.15 | $107.15 | $154.88 |
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 $128.82 Median $144.54 Typical High $147.91 | Facility | AF · Specialist physician | $128.82 | $144.54 | $147.91 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $95.50 Median $107.15 Typical High $109.65 | Facility | HO · Master's level | $95.50 | $107.15 | $109.65 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $107.15 Median $123.03 Typical High $125.89 | Facility | TD · Registered nurse | $107.15 | $123.03 | $125.89 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $128.82 Median $134.90 Typical High $165.96 | Professional | AF · Specialist physician | $128.82 | $134.90 | $165.96 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $104.71 Typical High $371.54 | Professional | HO · Master's level | $75.86 | $104.71 | $371.54 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $120.23 Typical High $371.54 | Professional | TD · Registered nurse | $75.86 | $120.23 | $371.54 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | U3 · State-defined | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | U4 · State-defined | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier U6 · State-defined Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | U6 · State-defined | $158.49 | $158.49 | $158.49 |
Where Ohio sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 51st of 51
$107
ND $186OH $107
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.