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 $7.41 Median $7.41 Typical High $28.18 | Facility | None | $7.41 | $7.41 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $28.18 | Professional | None | $7.41 | $7.41 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $15.49 | Professional | None | $7.94 | $9.33 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $16.60 | Professional | None | $6.92 | $10.23 | $16.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $16.22 | Professional | None | $6.92 | $10.23 | $16.22 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | None | $7.41 | $7.41 | $8.71 |
SummaCare Setting Professional Modifier None Typical Low $6.31 Median $7.24 Typical High $9.33 | Professional | None | $6.31 | $7.24 | $9.33 |
United Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $19.50 | Professional | None | $6.76 | $8.32 | $19.50 |
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 $3.72 Median $3.72 Typical High $14.13 | Professional | 52 · Reduced service | $3.72 | $3.72 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $5.62 | Professional | 53 · Discontinued | $1.51 | $1.51 | $5.62 |
Where Ohio sits
The same service costs 2.6 times more in Alaska than in New York. 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
$9.33
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.