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 $28.84 Median $81.28 Typical High $97.72 | Facility | None | $28.84 | $81.28 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $102.33 | Professional | None | $28.84 | $28.84 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $37.15 | Professional | None | $15.85 | $21.88 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $169.82 | Professional | None | $32.36 | $42.66 | $169.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $169.82 | Professional | None | $28.18 | $42.66 | $169.82 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $51.29 | Professional | None | $25.70 | $32.36 | $51.29 |
SummaCare Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $39.81 | Professional | None | $30.20 | $33.88 | $39.81 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $47.86 | Professional | None | $19.50 | $25.70 | $47.86 |
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 $14.45 Median $14.45 Typical High $50.12 | Professional | 52 · Reduced service | $14.45 | $14.45 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $19.95 | Professional | 53 · Discontinued | $5.89 | $5.89 | $19.95 |
Where Ohio sits
The same service costs 3.6 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· 47th of 51
$27.54
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.