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 $4,265.80 Median $4,265.80 Typical High $7,943.28 | Facility | None | $4,265.80 | $4,265.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $6,025.60 | Professional | None | $4,265.80 | $4,265.80 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $4,365.16 | Facility | None | $1,737.80 | $2,754.23 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $3,801.89 Typical High $6,456.54 | Professional | None | $3,715.35 | $3,801.89 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $12,882.50 | Facility | None | $9,549.93 | $9,549.93 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,466.84 | $4,466.84 | $5,248.07 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $12,882.50 | Facility | None | $9,549.93 | $9,549.93 | $12,882.50 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,466.84 | $4,466.84 | $5,248.07 |
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 $2,089.30 Median $2,344.23 Typical High $11,748.98 | Professional | None | $2,089.30 | $2,344.23 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,762.47 | Professional | None | $5,248.07 | $5,248.07 | $7,762.47 |
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 $2,089.30 Median $2,089.30 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $851.14 Typical High $1,230.27 | Professional | 53 · Discontinued | $851.14 | $851.14 | $1,230.27 |
Where Ohio sits
The same service costs 24.5 times more in West Virginia than in Kansas. 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· 36th of 51
$4,365
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.