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 $26.92 Median $69.18 Typical High $123.03 | Facility | None | $26.92 | $69.18 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $87.10 | Professional | None | $20.89 | $26.92 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $38.90 | Professional | None | $32.36 | $36.31 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $67.61 | Professional | None | $42.66 | $42.66 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $67.61 | Professional | None | $30.90 | $38.02 | $67.61 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $26.92 Median $38.90 Typical High $104.71 | Facility | None | $26.92 | $38.90 | $104.71 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $67.61 | Professional | None | $30.90 | $41.69 | $67.61 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $63.10 Typical High $91.20 | Professional | None | $19.50 | $63.10 | $91.20 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | None | $30.90 | $30.90 | $39.81 |
SummaCare Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | None | $30.90 | $36.31 | $46.77 |
United Setting Facility Modifier None Typical Low $44.67 Median $51.29 Typical High $74.13 | Facility | None | $44.67 | $51.29 | $74.13 |
United Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $38.90 | Professional | None | $33.11 | $33.88 | $38.90 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 59 · Distinct service | $34.67 | $34.67 | $34.67 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $26.92 Median $26.92 Typical High $48.98 | Professional | GC · Resident with teaching physician | $26.92 | $26.92 | $48.98 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in Maryland. 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· 33rd of 51
$36.31
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.