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 $177.83 Median $177.83 Typical High $524.81 | Facility | None | $177.83 | $177.83 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $524.81 | Professional | None | $177.83 | $177.83 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $309.03 | Professional | None | $190.55 | $199.53 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $269.15 | Professional | None | $114.82 | $173.78 | $269.15 |
SummaCare Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $234.42 | Professional | None | $158.49 | $165.96 | $234.42 |
United Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $416.87 | Professional | None | $165.96 | $199.53 | $416.87 |
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 G0 · Stroke telehealth Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | G0 · Stroke telehealth | $199.53 | $199.53 | $234.42 |
Where Ohio sits
The same service costs 2.6 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· 33rd of 51
$195
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.