How much rates vary
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 $69.18 Median $100.00 Typical High $102.33 | Facility | None | $69.18 | $100.00 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $100.00 | Professional | None | $63.10 | $85.11 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $117.49 | Professional | None | $70.79 | $83.18 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $125.89 | Professional | None | $67.61 | $74.13 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $125.89 | Professional | None | $67.61 | $74.13 | $125.89 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $125.89 | Professional | None | $69.18 | $85.11 | $125.89 |
Optum Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | None | $199.53 | $199.53 | $229.09 |
SummaCare Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $107.15 | Professional | None | $75.86 | $83.18 | $107.15 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $346.74 | Facility | None | $208.93 | $245.47 | $346.74 |
United Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $204.17 | Professional | None | $83.18 | $104.71 | $204.17 |
6 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 $85.11 Median $100.00 Typical High $102.33 | Facility | AF · Specialist physician | $85.11 | $100.00 | $102.33 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $63.10 Median $75.86 Typical High $77.62 | Facility | HO · Master's level | $63.10 | $75.86 | $77.62 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $72.44 Median $85.11 Typical High $87.10 | Facility | TD · Registered nurse | $72.44 | $85.11 | $87.10 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $85.11 Median $97.72 Typical High $102.33 | Professional | AF · Specialist physician | $85.11 | $97.72 | $102.33 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $63.10 Median $72.44 Typical High $77.62 | Professional | HO · Master's level | $63.10 | $72.44 | $77.62 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $72.44 Median $83.18 Typical High $87.10 | Professional | TD · Registered nurse | $72.44 | $83.18 | $87.10 |
Where Ohio sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 38th of 51
$83.18
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.