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 $0.21 Median $0.21 Typical High $1.00 | Facility | None | $0.21 | $0.21 | $1.00 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.25 | Professional | None | $0.21 | $0.21 | $0.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.11 Median $0.16 Typical High $0.35 | Professional | None | $0.11 | $0.16 | $0.35 |
CareSource Setting Facility Modifier None Typical Low $0.44 Median $0.44 Typical High $0.44 | Facility | None | $0.44 | $0.44 | $0.44 |
CareSource Setting Professional Modifier None Typical Low $0.34 Median $0.46 Typical High $0.48 | Professional | None | $0.34 | $0.46 | $0.48 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Molina Setting Professional Modifier None Typical Low $0.19 Median $0.30 Typical High $0.40 | Professional | None | $0.19 | $0.30 | $0.40 |
SummaCare Setting Professional Modifier None Typical Low $0.30 Median $0.35 Typical High $0.48 | Professional | None | $0.30 | $0.35 | $0.48 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.17 Typical High $0.21 | Professional | None | $0.11 | $0.17 | $0.21 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.10 Median $0.19 Typical High $0.24 | Professional | UE · Used equipment | $0.10 | $0.19 | $0.24 |
Where Ohio sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 47th of 51
$0.17
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.