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 $74.13 Typical High $275.42 | Facility | None | $74.13 | $74.13 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $275.42 | Professional | None | $74.13 | $74.13 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $138.04 | Professional | None | $79.43 | $93.33 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $102.33 | Professional | None | $61.66 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $213.80 | Professional | None | $70.79 | $107.15 | $213.80 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $213.80 | Professional | None | $69.18 | $93.33 | $213.80 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $107.15 | Professional | None | $52.48 | $72.44 | $107.15 |
SummaCare Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $85.11 | Professional | None | $56.23 | $69.18 | $85.11 |
United Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $181.97 | Professional | None | $72.44 | $114.82 | $181.97 |
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 $36.31 Median $36.31 Typical High $138.04 | Professional | 52 · Reduced service | $36.31 | $36.31 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $54.95 | Professional | 53 · Discontinued | $14.79 | $14.79 | $54.95 |
Where Ohio sits
The same service costs 2.8 times more in Minnesota 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· 36th of 51
$93.33
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.