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 $40.74 Median $56.23 Typical High $123.03 | Facility | None | $40.74 | $56.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $120.23 | Professional | None | $40.74 | $40.74 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $95.50 Typical High $263.03 | Facility | None | $43.65 | $95.50 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $72.44 | Professional | None | $40.74 | $40.74 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $134.90 | Facility | None | $77.62 | $87.10 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | None | $40.74 | $40.74 | $51.29 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $26.30 Median $75.86 Typical High $117.49 | Facility | None | $26.30 | $75.86 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | None | $40.74 | $40.74 | $57.54 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $66.07 | Professional | None | $39.81 | $44.67 | $66.07 |
SummaCare Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $77.62 | Professional | None | $42.66 | $46.77 | $77.62 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | None | $39.81 | $39.81 | $58.88 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | JZ · No drug discarded | $39.81 | $39.81 | $39.81 |
Where Ohio sits
Rates are fairly even across states for this service. 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· 36th of 51
$40.74
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.