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 $51.29 Median $51.29 Typical High $151.36 | Facility | None | $51.29 | $51.29 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $131.83 | Professional | None | $43.65 | $51.29 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | None | $47.86 | $47.86 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $97.72 Typical High $154.88 | Facility | None | $85.11 | $97.72 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $114.82 | Professional | None | $38.90 | $51.29 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $33.11 Typical High $45.71 | Professional | UE · Used equipment | $29.51 | $33.11 | $45.71 |
Aultcare Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $89.13 | Facility | None | $44.67 | $66.07 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $141.25 | Professional | None | $79.43 | $120.23 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | None | $43.65 | $43.65 | $54.95 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $70.79 | Professional | None | $38.02 | $52.48 | $70.79 |
SummaCare Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $144.54 | Professional | None | $91.20 | $100.00 | $144.54 |
United Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $67.61 | Professional | None | $29.51 | $44.67 | $67.61 |
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 $5.75 Median $5.75 Typical High $6.17 | Professional | RR · Rental | $5.75 | $5.75 | $6.17 |
Where Ohio sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 41st of 51
$51.29
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.