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 $131.83 Median $245.47 Typical High $446.68 | Facility | None | $131.83 | $245.47 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $263.03 | Professional | None | $131.83 | $131.83 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $158.49 | Professional | None | $91.20 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $302.00 | Professional | None | $173.78 | $218.78 | $302.00 |
Aultcare Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $245.47 | Professional | None | $93.33 | $109.65 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $173.78 | Professional | None | $104.71 | $117.49 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $245.47 | Professional | None | $120.23 | $134.90 | $245.47 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $575.44 Typical High $1,174.90 | Facility | None | $229.09 | $575.44 | $1,174.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $457.09 | Professional | None | $112.20 | $123.03 | $457.09 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $208.93 | Professional | None | $102.33 | $128.82 | $208.93 |
SummaCare Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $165.96 | Professional | None | $128.82 | $162.18 | $165.96 |
United Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $1,122.02 | Facility | None | $676.08 | $794.33 | $1,122.02 |
United Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $199.53 | Professional | None | $107.15 | $141.25 | $199.53 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 59 · Distinct service | $114.82 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier Q1 · Research study, routine Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | Q1 · Research study, routine | $173.78 | $173.78 | $173.78 |
Where Ohio sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 38th of 51
$151
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.