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 $17.78 Median $31.62 Typical High $60.26 | Facility | None | $17.78 | $31.62 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $22.39 | Professional | None | $8.71 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $8.32 Typical High $8.91 | Professional | 52 · Reduced service | $4.37 | $8.32 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $17.78 Typical High $20.89 | Professional | None | $7.94 | $17.78 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $20.42 | Professional | None | $9.12 | $12.88 | $20.42 |
Aultcare Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $25.70 | Professional | None | $15.85 | $17.38 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
SummaCare Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $18.62 | Professional | None | $7.94 | $12.59 | $18.62 |
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 $8.13 Median $14.45 Typical High $20.89 | Professional | None | $8.13 | $14.45 | $20.89 |
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 $14.79 Median $17.38 Typical High $19.05 | Professional | 59 · Distinct service | $14.79 | $17.38 | $19.05 |
Where Ohio sits
The same service costs 2.3 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· 31st of 51
$15.14
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.