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 $41.69 Median $41.69 Typical High $263.03 | Facility | None | $41.69 | $41.69 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $251.19 | Professional | None | $41.69 | $41.69 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $28.18 Typical High $48.98 | Professional | None | $14.79 | $28.18 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $70.79 | Professional | None | $38.90 | $39.81 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $70.79 | Professional | None | $38.90 | $39.81 | $70.79 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | None | $28.84 | $41.69 | $56.23 |
SummaCare Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | None | $42.66 | $42.66 | $56.23 |
United Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $95.50 | Professional | None | $36.31 | $46.77 | $95.50 |
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 $20.89 Median $20.89 Typical High $125.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $50.12 | Professional | 53 · Discontinued | $8.32 | $8.32 | $50.12 |
Where Ohio sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 49th of 51
$35.48
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.