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 $2.04 Median $2.04 Typical High $7.08 | Facility | None | $2.04 | $2.04 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.88 | Professional | None | $2.04 | $2.04 | $2.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.98 Median $1.78 Typical High $4.79 | Professional | None | $0.98 | $1.78 | $4.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.98 Median $1.15 Typical High $1.51 | Professional | UE · Used equipment | $0.98 | $1.15 | $1.51 |
CareSource Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
CareSource Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.27 | Professional | None | $4.17 | $4.17 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Molina Setting Professional Modifier None Typical Low $1.45 Median $2.00 Typical High $3.02 | Professional | None | $1.45 | $2.00 | $3.02 |
SummaCare Setting Professional Modifier None Typical Low $2.75 Median $3.24 Typical High $4.47 | Professional | None | $2.75 | $3.24 | $4.47 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.41 Typical High $1.82 | Professional | None | $1.29 | $1.41 | $1.82 |
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 $0.14 Median $0.14 Typical High $0.18 | Professional | RR · Rental | $0.14 | $0.14 | $0.18 |
Where Ohio sits
The same service costs 2.5 times more in Hawaii than in Maine. 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· 39th of 51
$1.62
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.