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 $30.20 Median $33.11 Typical High $263.03 | Facility | None | $30.20 | $33.11 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None | $30.20 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $30.90 | Professional | None | $19.95 | $22.39 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $46.77 | Professional | None | $25.12 | $33.11 | $46.77 |
SummaCare Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $38.02 | Professional | None | $26.92 | $30.20 | $38.02 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $128.82 | Facility | None | $77.62 | $89.13 | $128.82 |
United Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $58.88 | Professional | None | $24.55 | $32.36 | $58.88 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 59 · Distinct service | $30.90 | $30.90 | $30.90 |
Where Ohio sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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· 45th of 51
$29.51
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.