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 $31.62 Median $31.62 Typical High $398.11 | Facility | None | $31.62 | $31.62 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $302.00 | Professional | None | $31.62 | $31.62 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $75.86 Typical High $213.80 | Facility | None | $35.48 | $75.86 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $64.57 | Professional | None | $34.67 | $35.48 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Facility | None | $72.44 | $72.44 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Facility | None | $72.44 | $72.44 | $95.50 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | None | $33.11 | $33.11 | $48.98 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $223.87 | Professional | None | $128.82 | $158.49 | $223.87 |
SummaCare Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | None | $34.67 | $43.65 | $69.18 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $48.98 | Professional | None | $32.36 | $32.36 | $48.98 |
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 $15.85 Median $15.85 Typical High $151.36 | Professional | 52 · Reduced service | $15.85 | $15.85 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $60.26 | Professional | 53 · Discontinued | $6.31 | $6.31 | $60.26 |
Where Ohio sits
The same service costs 3.5 times more in Montana than in North Dakota. 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· 22nd of 51
$34.67
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.