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 $60.26 Median $102.33 Typical High $165.96 | Facility | None | $60.26 | $102.33 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $134.90 | Professional | None | $48.98 | $70.79 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $147.91 | Facility | None | $52.48 | $79.43 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $93.33 | Professional | None | $48.98 | $48.98 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $107.15 Typical High $162.18 | Facility | None | $93.33 | $107.15 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $104.71 | Professional | None | $48.98 | $48.98 | $104.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $158.49 | Facility | None | $74.13 | $107.15 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $134.90 | Professional | None | $48.98 | $48.98 | $134.90 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $70.79 | Professional | None | $53.70 | $61.66 | $70.79 |
SummaCare Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $97.72 | Professional | None | $48.98 | $53.70 | $97.72 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | None | $48.98 | $54.95 | $63.10 |
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 JZ · No drug discarded Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | JZ · No drug discarded | $48.98 | $48.98 | $48.98 |
Where Ohio sits
The same service costs 1.9 times more in Wyoming 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· 5th of 51
$63.10
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.