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 $87.10 Median $165.96 Typical High $295.12 | Facility | None | $87.10 | $165.96 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $467.74 | Professional | None | $87.10 | $87.10 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $194.98 | Professional | None | $69.18 | $128.82 | $194.98 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $141.25 | Professional | None | $83.18 | $91.20 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $213.80 | Professional | None | $85.11 | $100.00 | $213.80 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $309.03 Typical High $478.63 | Facility | None | $229.09 | $309.03 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $223.87 | Professional | None | $85.11 | $100.00 | $223.87 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $109.65 | Professional | None | $57.54 | $79.43 | $109.65 |
SummaCare Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $173.78 | Professional | None | $91.20 | $100.00 | $173.78 |
United Setting Facility Modifier None Typical Low $72.44 Median $83.18 Typical High $100.00 | Facility | None | $72.44 | $83.18 | $100.00 |
United Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $204.17 | Professional | None | $79.43 | $97.72 | $204.17 |
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 $43.65 Median $43.65 Typical High $245.47 | Professional | 52 · Reduced service | $43.65 | $43.65 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $97.72 | Professional | 53 · Discontinued | $17.78 | $17.78 | $97.72 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$102
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.