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 $72.44 Median $398.11 Typical High $1,096.48 | Facility | None | $72.44 | $398.11 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $1,318.26 | Professional | None | $114.82 | $234.42 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $138.04 | Professional | None | $33.88 | $39.81 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $338.84 | Professional | None | $204.17 | $229.09 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $537.03 | Professional | None | $213.80 | $288.40 | $537.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $1,023.29 | Facility | None | $123.03 | $173.78 | $1,023.29 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $588.84 | Professional | None | $223.87 | $288.40 | $588.84 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $426.58 | Professional | None | $186.21 | $269.15 | $426.58 |
SummaCare Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $281.84 | Professional | None | $194.98 | $245.47 | $281.84 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Facility | None | $275.42 | $316.23 | $457.09 |
United Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $275.42 | Professional | None | $33.88 | $47.86 | $275.42 |
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 $117.49 Median $117.49 Typical High $660.69 | Professional | 52 · Reduced service | $117.49 | $117.49 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $263.03 | Professional | 53 · Discontinued | $46.77 | $46.77 | $263.03 |
Where Ohio sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 34th of 51
$186
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.