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 $22.91 Median $22.91 Typical High $89.13 | Facility | None | $22.91 | $22.91 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $83.18 | Professional | None | $22.91 | $22.91 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $30.90 | Professional | None | $16.98 | $23.44 | $30.90 |
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 $30.20 Median $32.36 Typical High $57.54 | Professional | None | $30.20 | $32.36 | $57.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $158.49 | Facility | None | $128.82 | $158.49 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $46.77 | Professional | None | $11.48 | $14.13 | $46.77 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $102.33 | Professional | None | $52.48 | $66.07 | $102.33 |
SummaCare Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $44.67 | Professional | None | $30.90 | $38.02 | $44.67 |
United Setting Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $41.69 | Facility | None | $30.20 | $33.88 | $41.69 |
United Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $41.69 | Professional | None | $25.12 | $31.62 | $41.69 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $41.69 | Professional | 52 · Reduced service | $11.48 | $11.48 | $41.69 |
Where Ohio sits
The same service costs 3.2 times more in Alaska 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
$23.44
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.