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 $11.48 Median $21.38 Typical High $69.18 | Facility | None | $11.48 | $21.38 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $58.88 | Professional | None | $11.48 | $11.48 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $21.38 | Professional | None | $12.30 | $16.60 | $21.38 |
Aultcare Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aultcare Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | None | $12.59 | $12.59 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $23.99 | Professional | None | $17.78 | $18.62 | $23.99 |
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 Typical Low $16.22 Median $17.38 Typical High $44.67 | Professional | None | $16.22 | $17.38 | $44.67 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $134.90 | Facility | None | $44.67 | $72.44 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $26.30 | Professional | None | $11.22 | $12.88 | $26.30 |
SummaCare Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $22.39 | Professional | None | $15.49 | $19.05 | $22.39 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.89 | Facility | None | $15.14 | $16.98 | $20.89 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $25.12 | Professional | None | $15.14 | $18.20 | $25.12 |
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 GP · Physical therapy plan Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | GP · Physical therapy plan | $14.45 | $14.45 | $14.45 |
Where Ohio sits
The same service costs 3.0 times more in Alaska than in Delaware. 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· 44th of 51
$16.60
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.