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 $50.12 Median $147.91 Typical High $181.97 | Facility | None | $50.12 | $147.91 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $128.82 | Professional | None | $50.12 | $50.12 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $67.61 | Professional | None | $45.71 | $54.95 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $79.43 | Professional | None | $45.71 | $53.70 | $79.43 |
Aultcare Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | None | $63.10 | $63.10 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $114.82 | Professional | None | $42.66 | $56.23 | $114.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $81.28 Median $275.42 Typical High $338.84 | Facility | None | $81.28 | $275.42 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $114.82 | Professional | None | $42.66 | $56.23 | $114.82 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | None | $28.84 | $41.69 | $56.23 |
SummaCare Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $60.26 | Professional | None | $43.65 | $51.29 | $60.26 |
United Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $323.59 | Facility | None | $194.98 | $229.09 | $323.59 |
United Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $114.82 | Professional | None | $46.77 | $54.95 | $114.82 |
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 $25.12 Median $25.12 Typical High $28.18 | Professional | 52 · Reduced service | $25.12 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $10.00 | $10.00 | $11.22 |
Where Ohio sits
The same service costs 2.7 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
$53.70
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.