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 $2.88 Median $2.88 Typical High $7.08 | Facility | None | $2.88 | $2.88 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $4.07 | Professional | None | $2.88 | $2.88 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.71 Median $1.02 Typical High $1.86 | Professional | None | $0.71 | $1.02 | $1.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.71 Median $0.83 Typical High $1.17 | Professional | UE · Used equipment | $0.71 | $0.83 | $1.17 |
CareSource Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Molina Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $2.04 | Professional | None | $1.35 | $1.35 | $2.04 |
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 $0.08 Median $0.08 Typical High $0.08 | Professional | RR · Rental | $0.08 | $0.08 | $0.08 |
Where Ohio sits
The same service costs 95.5 times more in Montana than in Georgia. 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· 37th of 51
$2.88
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.