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 $0.31 Median $0.31 Typical High $2.00 | Facility | None | $0.31 | $0.31 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $2.00 | Professional | None | $0.31 | $0.31 | $2.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.07 | Facility | None | $0.02 | $0.03 | $0.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.66 Median $0.76 Typical High $1.12 | Professional | None | $0.66 | $0.76 | $1.12 |
CareSource Setting Facility Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | None | $0.28 | $0.28 | $0.28 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $2.19 | Facility | None | $1.62 | $1.62 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.85 | Professional | None | $0.76 | $0.76 | $0.85 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $2.19 | Facility | None | $1.62 | $1.62 | $2.19 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.85 | Professional | None | $0.76 | $0.76 | $0.85 |
Molina Setting Professional Modifier None Typical Low $0.83 Median $0.95 Typical High $1.10 | Professional | None | $0.83 | $0.95 | $1.10 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.29 | Professional | None | $0.85 | $0.85 | $1.29 |
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 $0.16 Median $0.16 Typical High $1.00 | Professional | 52 · Reduced service | $0.16 | $0.16 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.40 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.40 |
Where Ohio sits
The same service costs 1.6 times more in Massachusetts than in Colorado. 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· 42nd of 51
$0.76
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.