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 $54.95 Median $56.23 Typical High $229.09 | Facility | None | $54.95 | $56.23 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $93.33 | Professional | None | $54.95 | $56.23 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | None | $74.13 | $74.13 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $66.07 | Professional | None | $23.44 | $28.18 | $66.07 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | None | $74.13 | $74.13 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $91.20 | Professional | None | $63.10 | $69.18 | $91.20 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $91.20 | Professional | None | $63.10 | $69.18 | $91.20 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $100.00 | Professional | None | $52.48 | $64.57 | $100.00 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $93.33 | Professional | None | $66.07 | $75.86 | $93.33 |
United Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $104.71 | Professional | None | $58.88 | $74.13 | $104.71 |
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 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $27.54 | $31.62 |
Where Ohio sits
The same service costs 3.0 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· 48th of 51
$60.26
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.