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 $204.17 Median $204.17 Typical High $549.54 | Facility | None | $204.17 | $204.17 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $524.81 | Professional | None | $204.17 | $204.17 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $15.85 | Professional | None | $8.51 | $10.00 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $70.79 Typical High $251.19 | Facility | None | $54.95 | $70.79 | $251.19 |
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 $199.53 Median $239.88 Typical High $398.11 | Professional | None | $199.53 | $239.88 | $398.11 |
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 $199.53 Median $239.88 Typical High $407.38 | Professional | None | $199.53 | $239.88 | $407.38 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $69.18 | Professional | None | $47.86 | $57.54 | $69.18 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $524.81 | Professional | None | $199.53 | $275.42 | $524.81 |
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 $102.33 Median $102.33 Typical High $257.04 | Professional | 52 · Reduced service | $102.33 | $102.33 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $104.71 | Professional | 53 · Discontinued | $40.74 | $40.74 | $104.71 |
Where Ohio sits
The same service costs 67.6 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
$31.62
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.