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 $74.13 Median $91.20 Typical High $204.17 | Facility | None | $74.13 | $91.20 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $204.17 | Professional | None | $74.13 | $74.13 | $204.17 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $107.15 | Professional | None | $64.57 | $69.18 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $138.04 | Professional | None | $83.18 | $97.72 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $107.15 | Professional | None | $64.57 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $194.98 | Professional | None | $66.07 | $89.13 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $204.17 | Professional | None | $66.07 | $89.13 | $204.17 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $107.15 | Professional | None | $54.95 | $74.13 | $107.15 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $102.33 | Professional | None | $66.07 | $72.44 | $102.33 |
United Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $154.88 | Professional | None | $61.66 | $97.72 | $154.88 |
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 $37.15 Median $37.15 Typical High $102.33 | Professional | 52 · Reduced service | $37.15 | $37.15 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $40.74 | Professional | 53 · Discontinued | $14.79 | $14.79 | $40.74 |
Where Ohio sits
The same service costs 2.7 times more in Minnesota 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· 32nd of 51
$95.50
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.