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 $199.53 Median $199.53 Typical High $776.25 | Facility | None | $199.53 | $199.53 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $512.86 | Professional | None | $199.53 | $199.53 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $316.23 | Professional | None | $177.83 | $213.80 | $316.23 |
Aultcare Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $446.68 | Professional | None | $169.82 | $234.42 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $446.68 | Professional | None | $165.96 | $223.87 | $446.68 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $323.59 | Professional | None | $165.96 | $239.88 | $323.59 |
SummaCare Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $263.03 | Professional | None | $181.97 | $223.87 | $263.03 |
United Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $457.09 | Professional | None | $181.97 | $218.78 | $457.09 |
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 $97.72 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $39.81 | $39.81 | $44.67 |
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· 41st of 51
$214
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.