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 $4.07 Median $10.23 Typical High $13.18 | Facility | None | $4.07 | $10.23 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $37.15 | Professional | None | $3.72 | $3.72 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.82 Typical High $19.50 | Professional | 52 · Reduced service | $1.82 | $1.82 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $7.76 | Professional | 53 · Discontinued | $0.74 | $0.74 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.50 Typical High $16.60 | Professional | None | $4.68 | $5.50 | $16.60 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $5.50 | Professional | None | $3.39 | $3.80 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $162.18 | Professional | None | $9.77 | $9.77 | $162.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $281.84 | Facility | None | $61.66 | $114.82 | $281.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.37 Median $9.77 Typical High $162.18 | Professional | None | $5.37 | $9.77 | $162.18 |
SummaCare Setting Professional Modifier None Typical Low $4.17 Median $4.27 Typical High $4.90 | Professional | None | $4.17 | $4.27 | $4.90 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.37 Typical High $7.08 | Professional | None | $3.24 | $4.37 | $7.08 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 59 · Distinct service | $4.07 | $4.07 | $4.07 |
Where Ohio sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 21st of 51
$5.50
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.