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 $6.76 Median $19.05 Typical High $26.92 | Facility | None | $6.76 | $19.05 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.76 Typical High $19.05 | Professional | None | $6.61 | $6.76 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.62 | Professional | None | $5.13 | $5.13 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $9.77 | Professional | None | $3.24 | $4.47 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $15.14 | Professional | None | $10.72 | $14.45 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2.24 Median $9.77 Typical High $11.48 | Facility | None | $2.24 | $9.77 | $11.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | None | $5.13 | $5.13 | $6.61 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $10.47 | Professional | None | $5.01 | $6.92 | $10.47 |
SummaCare Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $15.14 | Professional | None | $9.33 | $10.96 | $15.14 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.37 Typical High $6.76 | Professional | None | $3.55 | $5.37 | $6.76 |
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 $0.37 Median $0.43 Typical High $0.58 | Professional | RR · Rental | $0.37 | $0.43 | $0.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.69 Median $2.69 Typical High $7.41 | Professional | UE · Used equipment | $2.69 | $2.69 | $7.41 |
Where Ohio sits
The same service costs 3.1 times more in Hawaii than in New Hampshire. 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· 45th of 51
$5.13
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.