How much rates vary
Facilitymedian $251 · 10th to 90th $85 to $355Professionalmedian $76 · 10th to 90th $71 to $110
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 $85.11 Median $251.19 Typical High $338.84 | Facility | None | $85.11 | $251.19 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | None | $75.86 | $85.11 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $123.03 | Professional | None | $72.44 | $97.72 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $114.82 | Professional | None | $72.44 | $85.11 | $114.82 |
Aultcare Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $109.65 | Professional | None | $69.18 | $72.44 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $117.49 | Facility | None | $87.10 | $117.49 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $141.25 | Professional | None | $83.18 | $102.33 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $131.83 | Professional | None | $69.18 | $72.44 | $131.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $77.62 | Professional | None | $60.26 | $75.86 | $77.62 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $141.25 | Professional | None | $74.13 | $100.00 | $141.25 |
Optum Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
SummaCare Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $114.82 | Professional | None | $93.33 | $107.15 | $114.82 |
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 $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
8 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 $100.00 Median $100.00 Typical High $107.15 | Facility | AF · Specialist physician | $100.00 | $100.00 | $107.15 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $75.86 Median $75.86 Typical High $79.43 | Facility | HO · Master's level | $75.86 | $75.86 | $79.43 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $85.11 Median $85.11 Typical High $91.20 | Facility | TD · Registered nurse | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $85.11 Median $100.00 Typical High $114.82 | Professional | AF · Specialist physician | $85.11 | $100.00 | $114.82 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $75.86 Typical High $79.43 | Professional | HO · Master's level | $60.26 | $75.86 | $79.43 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $60.26 Median $85.11 Typical High $91.20 | Professional | TD · Registered nurse | $60.26 | $85.11 | $91.20 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | HO · Master's level | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier U5 · State-defined Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | U5 · State-defined | $81.28 | $81.28 | $81.28 |
Where Ohio sits
The same service costs 1.7 times more in Alaska 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
$75.86
AK $132OH $75.86
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.