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 $0.78 Median $1.91 Typical High $3.63 | Facility | None | $0.78 | $1.91 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | None | $0.69 | $0.69 | $0.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.79 Median $1.62 Typical High $4.79 | Facility | None | $0.79 | $1.62 | $4.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $1.00 | Professional | None | $0.69 | $0.69 | $1.00 |
CareSource Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | None | $0.85 | $0.85 | $0.85 |
CareSource Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.15 | Professional | None | $0.85 | $0.85 | $1.15 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $1.48 Typical High $2.29 | Facility | None | $1.29 | $1.48 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.98 | Professional | None | $0.69 | $0.69 | $0.98 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1.38 Median $1.48 Typical High $2.04 | Facility | None | $1.38 | $1.48 | $2.04 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.98 | Professional | None | $0.69 | $0.69 | $0.98 |
Molina Setting Professional Modifier None Typical Low $0.69 Median $0.79 Typical High $0.95 | Professional | None | $0.69 | $0.79 | $0.95 |
SummaCare Setting Professional Modifier None Typical Low $0.69 Median $0.72 Typical High $0.85 | Professional | None | $0.69 | $0.72 | $0.85 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.72 Typical High $0.81 | Professional | None | $0.68 | $0.72 | $0.81 |
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 |
|---|---|---|---|---|---|
SummaCare Setting Facility Modifier AY · Not for dialysis care Typical Low $1.45 Median $2.57 Typical High $2.57 | Facility | AY · Not for dialysis care | $1.45 | $2.57 | $2.57 |
Where Ohio sits
The same service costs 2.5 times more in Wyoming than in Maine. 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
$0.69
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.