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 $407.38 Median $407.38 Typical High $1,023.29 | Facility | None | $407.38 | $407.38 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $954.99 | Professional | None | $407.38 | $407.38 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $32.36 | Professional | None | $16.98 | $19.95 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $512.86 | Facility | None | $120.23 | $154.88 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $501.19 | Facility | None | $100.00 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $794.33 | Professional | None | $398.11 | $478.63 | $794.33 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $501.19 | Facility | None | $100.00 | $446.68 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $812.83 | Professional | None | $398.11 | $478.63 | $812.83 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $138.04 | Professional | None | $81.28 | $117.49 | $138.04 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $1,047.13 | Professional | None | $398.11 | $549.54 | $1,047.13 |
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 $204.17 Median $204.17 Typical High $478.63 | Professional | 52 · Reduced service | $204.17 | $204.17 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $190.55 | Professional | 53 · Discontinued | $81.28 | $81.28 | $190.55 |
Where Ohio sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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
$64.57
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.