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 $27.54 Median $93.33 Typical High $134.90 | Facility | None | $27.54 | $93.33 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $40.74 | Professional | None | $23.44 | $27.54 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $23.44 | Professional | None | $20.89 | $23.44 | $23.44 |
Aultcare Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | None | $37.15 | $37.15 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $63.10 | Professional | None | $26.92 | $40.74 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $45.71 | Professional | None | $25.70 | $28.18 | $45.71 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $43.65 | Professional | None | $15.85 | $24.55 | $43.65 |
Optum Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $39.81 | Professional | None | $30.20 | $30.90 | $39.81 |
SummaCare Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.90 | Professional | None | $28.84 | $32.36 | $38.90 |
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 $29.51 Median $30.20 Typical High $33.11 | Professional | None | $29.51 | $30.20 | $33.11 |
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 AT · Acute treatment Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | AT · Acute treatment | $25.70 | $25.70 | $37.15 |
Where Ohio sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 49th of 51
$28.18
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.