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 $95.50 Median $158.49 Typical High $213.80 | Facility | None | $95.50 | $158.49 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $213.80 | Professional | None | $57.54 | $57.54 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $89.13 | Professional | None | $48.98 | $57.54 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $74.13 | Professional | None | $45.71 | $54.95 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $107.15 | Professional | None | $56.23 | $61.66 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $70.79 Median $234.42 Typical High $398.11 | Facility | None | $70.79 | $234.42 | $398.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $117.49 | Professional | None | $56.23 | $61.66 | $117.49 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $56.23 | Professional | None | $28.84 | $42.66 | $56.23 |
SummaCare Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | None | $56.23 | $56.23 | $74.13 |
United Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $128.82 | Professional | None | $48.98 | $61.66 | $128.82 |
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 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $43.65 | Professional | 53 · Discontinued | $11.48 | $11.48 | $43.65 |
Where Ohio sits
The same service costs 3.1 times more in Alaska than in New York. 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· 46th of 51
$57.54
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.