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 $7.76 Median $20.89 Typical High $41.69 | Facility | None | $7.76 | $20.89 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.92 Median $7.76 Typical High $33.88 | Professional | None (both parts) | $6.92 | $7.76 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.47 Typical High $13.49 | Professional | None (both parts) | $7.76 | $10.47 | $13.49 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | None (both parts) | $8.13 | $8.13 | $9.12 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.75 Typical High $15.14 | Professional | None (both parts) | $11.22 | $11.75 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $10.23 Typical High $27.54 | Professional | None (both parts) | $9.77 | $10.23 | $27.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $22.39 Median $61.66 Typical High $123.03 | Facility | None | $22.39 | $61.66 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $7.41 Median $7.76 Typical High $25.12 | Professional | None (both parts) | $7.41 | $7.76 | $25.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | None (both parts) | $12.02 | $12.02 | $14.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $9.77 Median $12.02 Typical High $15.85 | Professional | None (both parts) | $9.77 | $12.02 | $15.85 |
United Setting Facility Modifier None Typical Low $9.55 Median $10.72 Typical High $13.18 | Facility | None | $9.55 | $10.72 | $13.18 |
United Setting Professional Modifier None (both parts) Typical Low $9.33 Median $11.22 Typical High $15.85 | Professional | None (both parts) | $9.33 | $11.22 | $15.85 |
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 26 · Professional part Typical Low $20.89 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $6.92 Median $8.51 Typical High $9.33 | Professional | GP · Physical therapy plan | $6.92 | $8.51 | $9.33 |
Where Ohio sits
The same service costs 2.4 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· 48th of 51
$10.23
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.