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 $0.15 Median $0.15 Typical High $1.00 | Facility | None | $0.15 | $0.15 | $1.00 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.39 Median $0.63 Typical High $1.26 | Professional | None | $0.39 | $0.63 | $1.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.28 Median $0.36 Typical High $0.49 | Professional | UE · Used equipment | $0.28 | $0.36 | $0.49 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Molina Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $1.07 | Professional | None | $0.71 | $0.71 | $1.07 |
SummaCare Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.20 Typical High $0.28 | Professional | None | $0.13 | $0.20 | $0.28 |
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 $0.04 Median $0.04 Typical High $0.04 | Professional | RR · Rental | $0.04 | $0.04 | $0.04 |
Where Ohio sits
The same service costs 501.2 times more in Wyoming than in Idaho. 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· 34th of 51
$0.17
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.