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 $9.77 Median $21.38 Typical High $32.36 | Facility | None | $9.77 | $21.38 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $51.29 | Professional | None | $7.76 | $9.12 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $11.22 Typical High $17.78 | Facility | None | $7.94 | $11.22 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $13.49 | Professional | None | $6.03 | $8.32 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $11.22 | Facility | None | $6.92 | $6.92 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $11.48 Typical High $39.81 | Facility | None | $6.46 | $11.48 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $10.00 | Professional | None | $5.75 | $5.75 | $10.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $6.31 Median $12.59 Typical High $41.69 | Facility | None | $6.31 | $12.59 | $41.69 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.31 | Professional | None | $5.75 | $5.75 | $6.31 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $11.75 | Professional | None | $5.37 | $6.92 | $11.75 |
SummaCare Setting Professional Modifier None Typical Low $6.31 Median $8.32 Typical High $11.75 | Professional | None | $6.31 | $8.32 | $11.75 |
United Setting Facility Modifier None Typical Low $3.55 Median $8.71 Typical High $14.45 | Facility | None | $3.55 | $8.71 | $14.45 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.32 Typical High $11.75 | Professional | None | $4.90 | $8.32 | $11.75 |
4 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 Facility Modifier 52 · Reduced service Typical Low $4.07 Median $8.71 Typical High $14.45 | Facility | 52 · Reduced service | $4.07 | $8.71 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $3.55 Typical High $5.75 | Facility | 53 · Discontinued | $1.62 | $3.55 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $3.89 Typical High $25.70 | Professional | 52 · Reduced service | $3.89 | $3.89 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $10.23 | Professional | 53 · Discontinued | $1.55 | $1.55 | $10.23 |
Where Ohio sits
The same service costs 2.3 times more in Alaska than in Florida. 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· 34th of 51
$9.12
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.