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 $426.58 Median $524.81 Typical High $1,698.24 | Facility | None | $426.58 | $524.81 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $1,698.24 Typical High $2,951.21 | Professional | None | $181.97 | $1,698.24 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $281.84 | Professional | None | $165.96 | $199.53 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $194.98 | Professional | None | $117.49 | $128.82 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | None | $257.04 | $436.52 | $436.52 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $1,047.13 | Facility | None | $288.40 | $288.40 | $1,047.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $144.54 Median $436.52 Typical High $436.52 | Professional | None | $144.54 | $436.52 | $436.52 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None | $104.71 | $141.25 | $213.80 |
SummaCare Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $154.88 | Professional | None | $107.15 | $131.83 | $154.88 |
United Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $323.59 | Facility | None | $194.98 | $229.09 | $323.59 |
United Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $316.23 | Professional | None | $134.90 | $213.80 | $316.23 |
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 $70.79 Median $70.79 Typical High $1,000.00 | Professional | 52 · Reduced service | $70.79 | $70.79 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $398.11 | Professional | 53 · Discontinued | $28.84 | $28.84 | $398.11 |
Where Ohio sits
The same service costs 5.0 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· 31st of 51
$200
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.