How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $389.05 Median $389.05 Typical High $1,258.93 | Facility | None | $389.05 | $389.05 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $616.60 | Professional | None | $389.05 | $389.05 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $707.95 | Professional | None | $407.38 | $478.63 | $707.95 |
CareSource Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | None | $426.58 | $426.58 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $691.83 | Professional | None | $338.84 | $346.74 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $676.08 | Professional | None | $338.84 | $346.74 | $676.08 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $60.26 | Professional | None | $30.20 | $50.12 | $60.26 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None | $50.12 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $616.60 | Professional | None | $295.12 | $363.08 | $616.60 |
2 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 Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $79.43 | $93.33 |
Where Ohio sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 45th of 51
$407
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.