How much rates vary
Facilitymedian $138 · 10th to 90th $50 to $195Professionalmedian $47 · 10th to 90th $39 to $60
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 $138.04 Typical High $194.98 | Facility | None | $50.12 | $138.04 | $194.98 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $33.11 | Facility | 52 · Reduced service | $27.54 | $28.84 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $13.18 | Facility | 53 · Discontinued | $10.96 | $11.75 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $58.88 | Professional | None | $41.69 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $27.54 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $10.96 | $11.75 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $53.70 | Professional | None | $38.90 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $61.66 | Professional | None | $41.69 | $46.77 | $61.66 |
Aultcare Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $53.70 | Facility | None | $40.74 | $40.74 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $107.15 | Professional | None | $48.98 | $58.88 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $194.98 | Facility | None | $87.10 | $125.89 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $46.77 | Professional | None | $28.18 | $33.88 | $46.77 |
Optum Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
SummaCare Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $57.54 | Professional | None | $42.66 | $46.77 | $57.54 |
United Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $120.23 | Professional | None | $48.98 | $60.26 | $120.23 |
6 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 Facility Modifier AF · Specialist physician Typical Low $54.95 Median $58.88 Typical High $60.26 | Facility | AF · Specialist physician | $54.95 | $58.88 | $60.26 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $41.69 Median $43.65 Typical High $45.71 | Facility | HO · Master's level | $41.69 | $43.65 | $45.71 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $46.77 Median $50.12 Typical High $51.29 | Facility | TD · Registered nurse | $46.77 | $50.12 | $51.29 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $54.95 Median $58.88 Typical High $61.66 | Professional | AF · Specialist physician | $54.95 | $58.88 | $61.66 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $41.69 Median $43.65 Typical High $45.71 | Professional | HO · Master's level | $41.69 | $43.65 | $45.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | TD · Registered nurse | $46.77 | $50.12 | $52.48 |
Where Ohio sits
The same service costs 2.6 times more in Alaska than in Arizona. 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
$46.77
AK $110AZ $42.66
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.