How much rates vary
Facilitymedian $229 · 10th to 90th $107 to $363Professionalmedian $105 · 10th to 90th $87 to $135
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 $107.15 Median $229.09 Typical High $354.81 | Facility | None | $107.15 | $229.09 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $125.89 | Professional | None | $77.62 | $102.33 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | None | $89.13 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $131.83 | Professional | None | $77.62 | $93.33 | $131.83 |
Aultcare Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $194.98 | Professional | None | $81.28 | $107.15 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $114.82 Typical High $117.49 | Facility | None | $87.10 | $114.82 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $169.82 | Professional | None | $100.00 | $123.03 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $144.54 | Professional | None | $93.33 | $134.90 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $134.90 | Professional | None | $95.50 | $97.72 | $134.90 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | None | $109.65 | $128.82 | $181.97 |
Optum Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | None | $128.82 | $128.82 | $138.04 |
SummaCare Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $138.04 | Professional | None | $102.33 | $114.82 | $138.04 |
United Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,258.93 | Facility | None | $758.58 | $891.25 | $1,258.93 |
United Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $204.17 | Professional | None | $104.71 | $128.82 | $204.17 |
10 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 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $67.61 | Facility | 52 · Reduced service | $51.29 | $61.66 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $26.92 | Facility | 53 · Discontinued | $20.42 | $25.12 | $26.92 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $102.33 Median $125.89 Typical High $128.82 | Facility | AF · Specialist physician | $102.33 | $125.89 | $128.82 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $77.62 Median $93.33 Typical High $95.50 | Facility | HO · Master's level | $77.62 | $93.33 | $95.50 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $87.10 Median $107.15 Typical High $109.65 | Facility | TD · Registered nurse | $87.10 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $25.12 | $25.12 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $102.33 Median $125.89 Typical High $128.82 | Professional | AF · Specialist physician | $102.33 | $125.89 | $128.82 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $77.62 Median $93.33 Typical High $95.50 | Professional | HO · Master's level | $77.62 | $93.33 | $95.50 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $87.10 Median $107.15 Typical High $109.65 | Professional | TD · Registered nurse | $87.10 | $107.15 | $109.65 |
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· 48th of 51
$105
AK $224KY $95.50
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.