How much rates vary
Facilitymedian $58 · 10th to 90th $22 to $112Professionalmedian $30 · 10th to 90th $19 to $50
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 $22.39 Median $56.23 Typical High $112.20 | Facility | None | $22.39 | $56.23 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $39.81 | Professional | None | $16.98 | $29.51 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $30.90 Typical High $41.69 | Professional | None | $15.85 | $30.90 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $33.11 Typical High $45.71 | Professional | None | $17.78 | $33.11 | $45.71 |
Aultcare Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $42.66 | Professional | None | $28.18 | $37.15 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $25.12 Typical High $25.70 | Facility | None | $19.05 | $25.12 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $53.70 | Professional | None | $31.62 | $38.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $48.98 | Professional | None | $30.20 | $47.86 | $48.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $45.71 | Professional | None | $28.18 | $30.20 | $45.71 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $89.13 | Professional | None | $47.86 | $63.10 | $89.13 |
Optum Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | None | $42.66 | $42.66 | $46.77 |
SummaCare Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $48.98 | Professional | None | $22.39 | $26.30 | $48.98 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Facility | None | $275.42 | $316.23 | $457.09 |
United Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $61.66 | Professional | None | $25.12 | $42.66 | $61.66 |
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 $11.22 Median $19.95 Typical High $21.38 | Facility | 52 · Reduced service | $11.22 | $19.95 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $7.94 Typical High $8.71 | Facility | 53 · Discontinued | $4.57 | $7.94 | $8.71 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $22.39 Median $28.18 Typical High $40.74 | Facility | AF · Specialist physician | $22.39 | $28.18 | $40.74 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $16.98 Median $21.38 Typical High $30.90 | Facility | HO · Master's level | $16.98 | $21.38 | $30.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $19.05 Median $23.99 Typical High $34.67 | Facility | TD · Registered nurse | $19.05 | $23.99 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $11.22 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $4.57 | $7.94 | $7.94 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $22.39 Median $26.30 Typical High $40.74 | Professional | AF · Specialist physician | $22.39 | $26.30 | $40.74 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $16.98 Median $19.50 Typical High $30.90 | Professional | HO · Master's level | $16.98 | $19.50 | $30.90 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $19.05 Median $21.88 Typical High $34.67 | Professional | TD · Registered nurse | $19.05 | $21.88 | $34.67 |
Where Ohio sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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
$30.20
HI $63.10DC $26.92
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.