How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $70.79 Median $70.79 Typical High $416.87 | Facility | None | $70.79 | $70.79 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $389.05 | Professional | None | $70.79 | $70.79 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $177.83 Typical High $177.83 | Professional | None | $60.26 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | None | $69.18 | $69.18 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | None | $66.07 | $66.07 | $162.18 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $213.80 | Professional | None | $91.20 | $144.54 | $213.80 |
SummaCare Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $288.40 | Professional | None | $190.55 | $204.17 | $288.40 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $380.19 | Professional | None | $123.03 | $173.78 | $380.19 |
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 $34.67 Median $34.67 Typical High $194.98 | Professional | 52 · Reduced service | $34.67 | $34.67 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $77.62 | Professional | 53 · Discontinued | $14.13 | $14.13 | $77.62 |
Where Ohio sits
The same service costs 4.9 times more in Nebraska 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· 48th of 51
$70.79
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.