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 $11.75 Median $22.91 Typical High $39.81 | Facility | None | $11.75 | $22.91 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $22.91 Typical High $25.70 | Professional | None | $6.76 | $22.91 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $13.18 Typical High $20.89 | Facility | None | $9.12 | $13.18 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $12.88 | Professional | None | $2.14 | $3.02 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $12.88 | Facility | None | $2.75 | $2.75 | $12.88 |
CareSource Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $11.75 Typical High $23.44 | Facility | None | $3.47 | $11.75 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $6.61 | Professional | None | $2.63 | $2.63 | $6.61 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $6.46 Median $13.18 Typical High $22.39 | Facility | None | $6.46 | $13.18 | $22.39 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $7.24 | Professional | None | $2.63 | $2.63 | $7.24 |
Molina Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $7.59 | Professional | None | $2.75 | $2.75 | $7.59 |
SummaCare Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $13.49 | Professional | None | $6.76 | $11.22 | $13.49 |
United Setting Facility Modifier None Typical Low $4.07 Median $10.23 Typical High $16.98 | Facility | None | $4.07 | $10.23 | $16.98 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $15.14 | Professional | None | $2.09 | $3.02 | $15.14 |
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 $4.37 Median $4.37 Typical High $12.59 | Professional | 52 · Reduced service | $4.37 | $4.37 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $5.01 | Professional | 53 · Discontinued | $1.74 | $1.74 | $5.01 |
Where Ohio sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 37th of 51
$4.57
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.