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 $63.10 Median $112.20 Typical High $229.09 | Facility | None | $63.10 | $112.20 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $199.53 | Professional | None | $58.88 | $64.57 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $107.15 | Professional | None | $57.54 | $79.43 | $107.15 |
Aultcare Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aultcare Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $190.55 | Professional | None | $66.07 | $66.07 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $125.89 | Professional | None | $93.33 | $97.72 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $147.91 | Professional | None | $67.61 | $70.79 | $147.91 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $114.82 Median $229.09 Typical High $354.81 | Facility | None | $114.82 | $229.09 | $354.81 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $125.89 | Professional | None | $64.57 | $66.07 | $125.89 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None | $81.28 | $100.00 | $151.36 |
SummaCare Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | None | $79.43 | $97.72 | $123.03 |
United Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $107.15 | Facility | None | $77.62 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $102.33 | Professional | None | $58.88 | $75.86 | $102.33 |
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 $29.51 Median $29.51 Typical High $100.00 | Professional | 52 · Reduced service | $29.51 | $29.51 | $100.00 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | GP · Physical therapy plan | $75.86 | $75.86 | $89.13 |
Where Ohio sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 34th of 51
$77.62
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.