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 $64.57 Median $213.80 Typical High $263.03 | Facility | None | $64.57 | $213.80 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $114.82 | Professional | None | $58.88 | $64.57 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $85.11 | Professional | None | $54.95 | $83.18 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $87.10 | Professional | None | $46.77 | $56.23 | $87.10 |
Aultcare Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $123.03 | Professional | None | $75.86 | $83.18 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $100.00 | Professional | None | $70.79 | $77.62 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $29.51 Median $72.44 Typical High $107.15 | Professional | None | $29.51 | $72.44 | $107.15 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $147.91 | Professional | None | $61.66 | $97.72 | $147.91 |
SummaCare Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $100.00 | Professional | None | $67.61 | $87.10 | $100.00 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $346.74 | Facility | None | $208.93 | $245.47 | $346.74 |
United Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $114.82 | Professional | None | $64.57 | $81.28 | $114.82 |
3 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 $29.51 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $31.62 | $35.48 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $54.95 Median $64.57 Typical High $70.79 | Professional | 25 · Same-day visit | $54.95 | $64.57 | $70.79 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $64.57 Median $112.20 Typical High $117.49 | Professional | 33 · Preventive service | $64.57 | $112.20 | $117.49 |
Where Ohio sits
The same service costs 2.8 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· 43rd of 51
$72.44
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.