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 $177.83 Median $177.83 Typical High $977.24 | Facility | None | $177.83 | $177.83 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $977.24 | Professional | None | $177.83 | $177.83 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $346.74 | Professional | None | $204.17 | $239.88 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $446.68 | Professional | None | $158.49 | $239.88 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $446.68 | Professional | None | $158.49 | $239.88 | $446.68 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $323.59 | Professional | None | $158.49 | $218.78 | $323.59 |
SummaCare Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $190.55 | Professional | None | $131.83 | $165.96 | $190.55 |
United Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $380.19 | Professional | None | $162.18 | $257.04 | $380.19 |
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 $89.13 Median $89.13 Typical High $489.78 | Professional | 52 · Reduced service | $89.13 | $89.13 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $194.98 | Professional | 53 · Discontinued | $35.48 | $35.48 | $194.98 |
Where Ohio sits
The same service costs 2.5 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· 31st of 51
$240
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.