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 $1.95 Median $1.95 Typical High $64.57 | Facility | None | $1.95 | $1.95 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $40.74 | Professional | None | $1.95 | $1.95 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $21.38 | Professional | None | $10.72 | $14.79 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $60.26 | Professional | None | $23.99 | $36.31 | $60.26 |
United Setting Professional Modifier None Typical Low $1.32 Median $2.00 Typical High $3.09 | Professional | None | $1.32 | $2.00 | $3.09 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.23 Typical High $1.45 | Professional | RR · Rental | $1.23 | $1.23 | $1.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | UE · Used equipment | $9.12 | $9.12 | $10.96 |
Where Ohio sits
The same service costs 25.1 times more in Wyoming than in West Virginia. 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· 7th of 51
$11.75
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.