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 $21.88 Median $67.61 Typical High $478.63 | Facility | None | $21.88 | $67.61 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $66.07 Typical High $69.18 | Professional | None | $21.88 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $43.65 Typical High $77.62 | Professional | None | $20.42 | $43.65 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $60.26 Typical High $117.49 | Professional | None | $21.38 | $60.26 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $21.38 Median $60.26 Typical High $114.82 | Professional | None | $21.38 | $60.26 | $114.82 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $109.65 | Professional | None | $52.48 | $75.86 | $109.65 |
SummaCare Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $81.28 | Professional | None | $19.50 | $28.84 | $81.28 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None Typical Low $19.95 Median $50.12 Typical High $117.49 | Professional | None | $19.95 | $50.12 | $117.49 |
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 $10.96 Median $32.36 Typical High $33.88 | Professional | 52 · Reduced service | $10.96 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $13.18 Typical High $13.49 | Professional | 53 · Discontinued | $4.37 | $13.18 | $13.49 |
Where Ohio sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 40th of 51
$56.23
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.