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 $67.61 Median $67.61 Typical High $346.74 | Facility | None | $67.61 | $67.61 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $257.04 | Professional | None | $67.61 | $67.61 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.07 | Facility | None | $0.02 | $0.03 | $0.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $83.18 | Professional | None | $47.86 | $52.48 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $204.17 | Facility | None | $154.88 | $154.88 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | None | $70.79 | $70.79 | $83.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $204.17 | Facility | None | $154.88 | $154.88 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | None | $70.79 | $70.79 | $104.71 |
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 $51.29 Median $57.54 Typical High $190.55 | Professional | None | $51.29 | $57.54 | $190.55 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | None | $79.43 | $79.43 | $117.49 |
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 $33.88 Median $33.88 Typical High $128.82 | Professional | 52 · Reduced service | $33.88 | $33.88 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $52.48 | Professional | 53 · Discontinued | $13.49 | $13.49 | $52.48 |
Where Ohio sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 47th of 51
$70.79
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.