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 $5.25 Median $8.91 Typical High $114.82 | Facility | None | $5.25 | $8.91 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $123.03 | Professional | None | $5.25 | $5.25 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $25.70 | Professional | None | $13.18 | $18.62 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $173.78 | Professional | None | $38.02 | $38.02 | $173.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $173.78 | Professional | None | $30.20 | $38.02 | $173.78 |
SummaCare Setting Professional Modifier None Typical Low $4.68 Median $5.75 Typical High $6.76 | Professional | None | $4.68 | $5.75 | $6.76 |
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 $4.17 Median $8.51 Typical High $16.60 | Professional | None | $4.17 | $8.51 | $16.60 |
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 $2.57 Median $2.57 Typical High $61.66 | Professional | 52 · Reduced service | $2.57 | $2.57 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $24.55 | Professional | 53 · Discontinued | $1.05 | $1.05 | $24.55 |
Where Ohio sits
The same service costs 3.9 times more in Indiana 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· 2nd of 51
$18.62
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.