How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $114.82 Median $114.82 Typical High $758.58 | Facility | None | $114.82 | $114.82 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $707.95 | Professional | None | $114.82 | $114.82 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $42.66 Typical High $93.33 | Professional | None | $21.88 | $42.66 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $194.98 | Professional | None | $100.00 | $109.65 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $194.98 | Professional | None | $100.00 | $109.65 | $194.98 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $208.93 | Professional | None | $104.71 | $144.54 | $208.93 |
SummaCare Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | None | $117.49 | $117.49 | $154.88 |
United Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $269.15 | Professional | None | $91.20 | $123.03 | $269.15 |
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 $57.54 Median $57.54 Typical High $354.81 | Professional | 52 · Reduced service | $57.54 | $57.54 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $144.54 | Professional | 53 · Discontinued | $22.91 | $22.91 | $144.54 |
Where Ohio sits
The same service costs 21.4 times more in Alaska than in New York. 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· 46th of 51
$91.20
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.