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 $11.75 Median $43.65 Typical High $107.15 | Facility | None | $11.75 | $43.65 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $20.89 | Professional | None | $11.75 | $11.75 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.80 Typical High $5.37 | Professional | None | $3.24 | $3.80 | $5.37 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $58.88 | Professional | None | $19.05 | $30.90 | $58.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $57.54 | Professional | None | $19.05 | $30.20 | $57.54 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | None | $50.12 | $50.12 | $60.26 |
Optum Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
SummaCare Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $128.82 | Facility | None | $77.62 | $89.13 | $128.82 |
United Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $48.98 | Professional | None | $17.38 | $20.89 | $48.98 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
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 U3 · State-defined Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | U3 · State-defined | $23.99 | $23.99 | $23.99 |
Where Ohio sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 51st of 51
$4.07
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.