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 $14.13 Median $14.45 Typical High $64.57 | Facility | None | $14.13 | $14.45 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.45 Typical High $15.85 | Professional | None (both parts) | $14.13 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.24 Typical High $7.94 | Professional | 52 · Reduced service | $7.08 | $7.24 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $3.16 | Professional | 53 · Discontinued | $2.82 | $2.88 | $3.16 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | None (both parts) | $15.49 | $15.49 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.59 Typical High $16.60 | Professional | None (both parts) | $10.47 | $12.59 | $16.60 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.88 Typical High $15.85 | Professional | None (both parts) | $10.47 | $12.88 | $15.85 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $10.72 Typical High $12.88 | Professional | None (both parts) | $9.77 | $10.72 | $12.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $10.47 Median $13.18 Typical High $15.49 | Professional | None (both parts) | $10.47 | $13.18 | $15.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $125.89 | Facility | None | $77.62 | $89.13 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $10.23 Median $13.80 Typical High $19.05 | Professional | None (both parts) | $10.23 | $13.80 | $19.05 |
1 more rate 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 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Where Ohio sits
The same service costs 2.7 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· 49th of 51
$14.13
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.