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 $3.02 Median $3.02 Typical High $8.91 | Facility | None | $3.02 | $3.02 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.02 Typical High $4.37 | Professional | None | $2.95 | $3.02 | $4.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.82 Typical High $7.08 | Professional | None | $1.62 | $2.82 | $7.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.70 Median $1.91 Typical High $2.45 | Professional | UE · Used equipment | $1.70 | $1.91 | $2.45 |
CareSource Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $6.17 | Facility | None | $3.55 | $3.55 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $6.31 | Professional | None | $3.55 | $3.55 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Molina Setting Professional Modifier None Typical Low $2.40 Median $3.31 Typical High $5.01 | Professional | None | $2.40 | $3.31 | $5.01 |
SummaCare Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $6.61 | Professional | None | $4.07 | $4.79 | $6.61 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.34 Typical High $2.88 | Professional | None | $1.55 | $2.34 | $2.88 |
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 $0.21 Median $0.21 Typical High $0.28 | Professional | RR · Rental | $0.21 | $0.21 | $0.28 |
Where Ohio sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 36th of 51
$2.40
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.