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 $128.82 Median $131.83 Typical High $288.40 | Facility | None | $128.82 | $131.83 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $281.84 | Professional | None | $128.82 | $131.83 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None | $102.33 | $102.33 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $199.53 | Professional | None | $114.82 | $134.90 | $199.53 |
Aultcare Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $223.87 | Professional | None | $141.25 | $199.53 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | None | $125.89 | $151.36 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $288.40 | Professional | None | $109.65 | $147.91 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $407.38 | Professional | None | $109.65 | $181.97 | $407.38 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $162.18 | Professional | None | $83.18 | $120.23 | $162.18 |
SummaCare Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $218.78 | Professional | None | $114.82 | $141.25 | $218.78 |
United Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $295.12 | Professional | None | $117.49 | $141.25 | $295.12 |
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 $64.57 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $64.57 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $25.70 | $26.30 | $28.84 |
Where Ohio sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 43rd of 51
$135
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.