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 $10.23 Median $52.48 Typical High $173.78 | Facility | None | $10.23 | $52.48 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $47.86 Typical High $79.43 | Professional | None | $5.50 | $47.86 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $7.41 | Professional | None | $4.79 | $7.41 | $7.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $33.88 Typical High $72.44 | Professional | None | $5.62 | $33.88 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $77.62 | Professional | None | $48.98 | $53.70 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $645.65 | Facility | None | $169.82 | $323.59 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $10.00 Median $53.70 Typical High $53.70 | Professional | None | $10.00 | $53.70 | $53.70 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $97.72 | Professional | None | $42.66 | $60.26 | $97.72 |
SummaCare Setting Professional Modifier None Typical Low $5.25 Median $10.72 Typical High $75.86 | Professional | None | $5.25 | $10.72 | $75.86 |
United Setting Professional Modifier None Typical Low $4.90 Median $39.81 Typical High $70.79 | Professional | None | $4.90 | $39.81 | $70.79 |
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 53 · Discontinued Typical Low $1.10 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $1.10 | $9.55 | $10.47 |
Ambetter Setting Professional Modifier PT · Screening turned treatment Typical Low $7.41 Median $10.96 Typical High $10.96 | Professional | PT · Screening turned treatment | $7.41 | $10.96 | $10.96 |
Where Ohio sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 30th of 51
$52.48
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.