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 $154.88 Median $154.88 Typical High $602.56 | Facility | None | $154.88 | $154.88 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $354.81 | Professional | None | $154.88 | $154.88 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $234.42 | Professional | None | $134.90 | $162.18 | $234.42 |
Aultcare Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | None | $169.82 | $169.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $338.84 | Professional | None | $128.82 | $177.83 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $467.74 | Professional | None | $128.82 | $204.17 | $467.74 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $269.15 | Professional | None | $138.04 | $186.21 | $269.15 |
SummaCare Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $194.98 | Professional | None | $138.04 | $165.96 | $194.98 |
United Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $354.81 | Professional | None | $138.04 | $165.96 | $354.81 |
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 $77.62 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.88 |
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· 40th of 51
$162
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.