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 $23.99 Median $69.18 Typical High $85.11 | Facility | None | $23.99 | $69.18 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $29.51 | Professional | None | $21.38 | $23.99 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $10.72 | $12.02 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $40.74 | Professional | None | $30.90 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $25.12 | Professional | None | $16.60 | $18.20 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $45.71 | Professional | None | $28.18 | $33.11 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $63.10 | Facility | None | $33.11 | $63.10 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $45.71 | Professional | None | $23.44 | $29.51 | $45.71 |
SummaCare Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $33.11 | Professional | None | $23.99 | $26.30 | $33.11 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $346.74 | Facility | None | $208.93 | $245.47 | $346.74 |
United Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $48.98 | Professional | None | $20.42 | $25.12 | $48.98 |
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 SA · Nurse practitioner Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | SA · Nurse practitioner | $28.18 | $28.18 | $28.18 |
Where Ohio sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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
$22.91
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.