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 $0.65 Median $1.78 Typical High $3.98 | Facility | None | $0.65 | $1.78 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $3.98 | Professional | None | $0.65 | $0.65 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.50 Median $0.72 Typical High $1.70 | Professional | None | $0.50 | $0.72 | $1.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.38 Median $0.50 Typical High $0.56 | Professional | UE · Used equipment | $0.38 | $0.50 | $0.56 |
Aultcare Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | None | $1.05 | $1.05 | $1.05 |
CareSource Setting Facility Modifier None Typical Low $0.51 Median $0.78 Typical High $1.02 | Facility | None | $0.51 | $0.78 | $1.02 |
CareSource Setting Professional Modifier None Typical Low $0.66 Median $1.29 Typical High $1.38 | Professional | None | $0.66 | $1.29 | $1.38 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.76 | Facility | None | $0.62 | $0.62 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.76 | Facility | None | $0.62 | $0.62 | $0.76 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.63 | Professional | None | $0.52 | $0.52 | $0.63 |
Molina Setting Professional Modifier None Typical Low $0.56 Median $0.78 Typical High $0.87 | Professional | None | $0.56 | $0.78 | $0.87 |
SummaCare Setting Professional Modifier None Typical Low $0.87 Median $1.05 Typical High $1.29 | Professional | None | $0.87 | $1.05 | $1.29 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.49 Typical High $0.66 | Professional | None | $0.28 | $0.49 | $0.66 |
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 $0.07 Median $0.07 Typical High $0.50 | Professional | RR · Rental | $0.07 | $0.07 | $0.50 |
Where Ohio sits
The same service costs 2.7 times more in Kansas than in Connecticut. 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· 43rd of 51
$0.52
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.