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 $19.50 Median $22.91 Typical High $37.15 | Facility | None | $19.50 | $22.91 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $37.15 | Professional | None | $19.50 | $22.91 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $35.48 | Professional | None | $26.30 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $36.31 | Professional | None | $22.91 | $26.92 | $36.31 |
Aultcare Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $60.26 | Professional | None | $28.84 | $32.36 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $43.65 | Professional | None | $26.92 | $29.51 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $47.86 | Professional | None | $27.54 | $28.18 | $47.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $74.13 | Professional | None | $27.54 | $39.81 | $74.13 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $48.98 | Professional | None | $23.44 | $33.11 | $48.98 |
SummaCare Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $36.31 | Professional | None | $22.91 | $30.90 | $36.31 |
United Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $40.74 | Professional | None | $22.39 | $27.54 | $40.74 |
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 SA · Nurse practitioner Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | SA · Nurse practitioner | $26.30 | $26.30 | $26.30 |
Where Ohio sits
The same service costs 2.8 times more in Alaska than in New Jersey. 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
$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.