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 $24.55 Median $24.55 Typical High $64.57 | Facility | None | $24.55 | $24.55 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $70.79 | Professional | None | $24.55 | $24.55 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $34.67 | Professional | None | $25.70 | $26.92 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $36.31 | Professional | None | $20.42 | $23.99 | $36.31 |
Aultcare Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $35.48 | Professional | None | $21.38 | $22.91 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $53.70 | Professional | None | $21.88 | $31.62 | $53.70 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $79.43 | Professional | None | $22.39 | $33.11 | $79.43 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
SummaCare Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $36.31 | Professional | None | $20.89 | $25.70 | $36.31 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $47.86 | Professional | None | $21.38 | $30.90 | $47.86 |
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 $12.30 Median $12.30 Typical High $45.71 | Professional | 52 · Reduced service | $12.30 | $12.30 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $18.20 | Professional | 53 · Discontinued | $4.90 | $4.90 | $18.20 |
Where Ohio sits
The same service costs 2.8 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· 37th of 51
$25.70
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.