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 $104.71 Median $104.71 Typical High $457.09 | Facility | None | $104.71 | $104.71 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $407.38 | Professional | None (both parts) | $104.71 | $104.71 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $85.11 | $100.00 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $234.42 | Professional | None (both parts) | $95.50 | $107.15 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $95.50 | $107.15 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $57.54 | $83.18 | $112.20 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $81.28 | $89.13 | $112.20 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,951.21 | Facility | None | $1,778.28 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $263.03 | Professional | None (both parts) | $87.10 | $114.82 | $263.03 |
4 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 $52.48 Median $52.48 Typical High $114.82 | Professional | 52 · Reduced service | $52.48 | $52.48 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $45.71 | Professional | 53 · Discontinued | $21.38 | $21.38 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $125.89 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $125.89 | $194.98 |
Where Ohio sits
The same service costs 3.2 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· 46th of 51
$105
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.