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 $5.50 Median $5.50 Typical High $16.98 | Facility | None | $5.50 | $5.50 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.13 | Professional | None | $5.50 | $5.50 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $5.25 Typical High $12.30 | Professional | None | $3.02 | $5.25 | $12.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $3.55 Typical High $4.17 | Professional | UE · Used equipment | $3.16 | $3.55 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | None | $11.22 | $11.22 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $4.90 Typical High $7.41 | Professional | None | $3.63 | $4.90 | $7.41 |
SummaCare Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $12.02 | Professional | None | $7.59 | $8.91 | $12.02 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.27 Typical High $5.37 | Professional | None | $2.88 | $4.27 | $5.37 |
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 $0.39 Median $0.39 Typical High $0.43 | Professional | RR · Rental | $0.39 | $0.39 | $0.43 |
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· 39th of 51
$4.47
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.