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 $147.91 Median $323.59 Typical High $416.87 | Facility | None | $147.91 | $323.59 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $512.86 | Professional | None | $123.03 | $123.03 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $165.96 | Professional | None | $89.13 | $104.71 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $234.42 | Professional | None | $109.65 | $162.18 | $234.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $389.05 | Facility | None | $234.42 | $234.42 | $389.05 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $234.42 | Professional | None | $109.65 | $162.18 | $234.42 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $218.78 | Professional | None | $104.71 | $144.54 | $218.78 |
SummaCare Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $147.91 | Professional | None | $102.33 | $125.89 | $147.91 |
United Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $436.52 | Facility | None | $263.03 | $309.03 | $436.52 |
United Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $288.40 | Professional | None | $95.50 | $120.23 | $288.40 |
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 $61.66 Median $61.66 Typical High $257.04 | Professional | 52 · Reduced service | $61.66 | $61.66 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $102.33 | Professional | 53 · Discontinued | $24.55 | $24.55 | $102.33 |
Where Ohio sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 44th of 51
$123
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.