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 $2.95 Median $2.95 Typical High $15.14 | Facility | None | $2.95 | $2.95 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $4.17 | Professional | None | $2.95 | $2.95 | $4.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.69 Typical High $6.92 | Professional | None | $1.48 | $2.69 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.55 Median $1.78 Typical High $2.29 | Professional | UE · Used equipment | $1.55 | $1.78 | $2.29 |
CareSource Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
CareSource Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | None | $6.03 | $6.03 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
SummaCare Setting Professional Modifier None Typical Low $3.98 Median $4.68 Typical High $6.46 | Professional | None | $3.98 | $4.68 | $6.46 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.29 Typical High $2.82 | Professional | None | $1.51 | $2.29 | $2.82 |
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 RR · Rental Typical Low $0.18 Median $0.21 Typical High $0.28 | Professional | RR · Rental | $0.18 | $0.21 | $0.28 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in New Mexico. 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
$2.29
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.