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 $93.33 Median $138.04 Typical High $263.03 | Facility | None | $93.33 | $138.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $281.84 | Professional | None | $93.33 | $93.33 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $100.00 | Professional | None | $56.23 | $66.07 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $154.88 | Professional | None | $87.10 | $100.00 | $154.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $154.88 | Professional | None | $87.10 | $100.00 | $154.88 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None | $81.28 | $100.00 | $151.36 |
SummaCare Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $114.82 | Professional | None | $79.43 | $97.72 | $114.82 |
United Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $107.15 | Facility | None | $77.62 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $190.55 | Professional | None | $61.66 | $95.50 | $190.55 |
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 $46.77 Median $46.77 Typical High $138.04 | Professional | 52 · Reduced service | $46.77 | $46.77 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $56.23 | Professional | 53 · Discontinued | $18.62 | $18.62 | $56.23 |
Where Ohio sits
The same service costs 3.0 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· 49th of 51
$83.18
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.