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 $34.67 Median $34.67 Typical High $213.80 | Facility | None | $34.67 | $34.67 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $194.98 | Professional | None | $34.67 | $34.67 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $66.07 | Professional | None | $33.88 | $40.74 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $128.82 | Facility | None | $54.95 | $54.95 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $72.44 | Professional | None | $34.67 | $40.74 | $72.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $77.62 | Professional | None | $34.67 | $39.81 | $77.62 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $56.23 | Professional | None | $24.55 | $41.69 | $56.23 |
SummaCare Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $54.95 | Professional | None | $30.90 | $36.31 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $33.11 | Facility | None | $23.99 | $26.92 | $33.11 |
United Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $77.62 | Professional | None | $33.11 | $38.90 | $77.62 |
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 $17.38 Median $17.38 Typical High $100.00 | Professional | 52 · Reduced service | $17.38 | $17.38 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $39.81 | Professional | 53 · Discontinued | $7.08 | $7.08 | $39.81 |
Where Ohio sits
The same service costs 2.7 times more in Alaska than in New York. 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
$40.74
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.