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 $26.30 Median $26.30 Typical High $123.03 | Facility | None | $26.30 | $26.30 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $53.70 | Professional | None | $26.30 | $26.30 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $38.02 | Professional | None | $14.13 | $19.50 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $14.79 Typical High $20.89 | Professional | UE · Used equipment | $12.59 | $14.79 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $47.86 | Professional | None | $23.44 | $32.36 | $47.86 |
SummaCare Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $57.54 | Professional | None | $35.48 | $41.69 | $57.54 |
United Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $25.12 | Professional | None | $13.80 | $20.42 | $25.12 |
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 $1.82 Median $1.82 Typical High $2.88 | Professional | RR · Rental | $1.82 | $1.82 | $2.88 |
Where Ohio sits
The same service costs 2.8 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
$20.89
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.