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 $104.71 Median $218.78 Typical High $363.08 | Facility | None | $104.71 | $218.78 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $117.49 | Professional | None | $79.43 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $120.23 | Professional | None | $74.13 | $97.72 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | None | $79.43 | $93.33 | $123.03 |
Aultcare Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $158.49 | Professional | None | $81.28 | $109.65 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $120.23 | Facility | None | $91.20 | $117.49 | $120.23 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | None | $93.33 | $114.82 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $134.90 | Professional | None | $87.10 | $120.23 | $134.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | None | $83.18 | $83.18 | $120.23 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $181.97 | Professional | None | $97.72 | $128.82 | $181.97 |
Optum Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
SummaCare Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $125.89 | Professional | None | $104.71 | $117.49 | $125.89 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | None | $100.00 | $120.23 | $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 $53.70 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $23.44 | $23.44 |
Where Ohio sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 47th of 51
$100
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.