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 $56.23 Median $104.71 Typical High $181.97 | Facility | None | $56.23 | $104.71 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $120.23 | Professional | None | $56.23 | $56.23 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $74.13 | Professional | None | $54.95 | $63.10 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | None | $72.44 | $89.13 | $123.03 |
Aultcare Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $107.15 | Professional | None | $47.86 | $47.86 | $107.15 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $50.12 Typical High $74.13 | Professional | None | $45.71 | $50.12 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $107.15 | Professional | None | $50.12 | $56.23 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $109.65 Median $251.19 Typical High $616.60 | Facility | None | $109.65 | $251.19 | $616.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $131.83 | Professional | None | $50.12 | $56.23 | $131.83 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $51.29 | Professional | None | $25.70 | $33.88 | $51.29 |
SummaCare Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $245.47 | Facility | None | $147.91 | $173.78 | $245.47 |
United Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $83.18 | Professional | None | $45.71 | $60.26 | $83.18 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 59 · Distinct service | $69.18 | $69.18 | $69.18 |
Where Ohio sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 42nd of 51
$60.26
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.