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 $389.05 Median $398.11 Typical High $1,412.54 | Facility | None | $389.05 | $398.11 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $758.58 | Professional | None | $389.05 | $398.11 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $616.60 | Professional | None | $346.74 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $891.25 | Professional | None | $331.13 | $457.09 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $891.25 | Professional | None | $331.13 | $436.52 | $891.25 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $758.58 | Professional | None | $380.19 | $549.54 | $758.58 |
SummaCare Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $512.86 | Professional | None | $354.81 | $436.52 | $512.86 |
United Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $891.25 | Professional | None | $354.81 | $426.58 | $891.25 |
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 $194.98 Median $194.98 Typical High $218.78 | Professional | 52 · Reduced service | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | 53 · Discontinued | $77.62 | $79.43 | $87.10 |
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
$417
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.