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 $9.12 Median $9.12 Typical High $52.48 | Facility | None | $9.12 | $9.12 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $19.05 | Professional | None | $9.12 | $9.12 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $19.95 | Professional | None | $5.01 | $8.13 | $19.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.89 Typical High $6.92 | Professional | UE · Used equipment | $5.13 | $5.89 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | None | $18.62 | $18.62 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $12.30 | Professional | None | $6.03 | $8.13 | $12.30 |
SummaCare Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $19.95 | Professional | None | $12.59 | $14.79 | $19.95 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $8.71 | Professional | None | $4.79 | $7.08 | $8.71 |
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 $0.65 Median $0.65 Typical High $0.71 | Professional | RR · Rental | $0.65 | $0.65 | $0.71 |
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· 43rd of 51
$7.41
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.