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 $2.29 Median $2.29 Typical High $5.01 | Facility | None | $2.29 | $2.29 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.09 | Professional | None | $2.29 | $2.29 | $3.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.23 Median $2.14 Typical High $5.37 | Professional | None | $1.23 | $2.14 | $5.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.29 Median $1.48 Typical High $1.91 | Professional | UE · Used equipment | $1.29 | $1.48 | $1.91 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $4.68 | Facility | None | $2.63 | $2.63 | $4.68 |
CareSource Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $4.90 | Professional | None | $2.63 | $2.63 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Molina Setting Professional Modifier None Typical Low $2.04 Median $2.82 Typical High $4.27 | Professional | None | $2.04 | $2.82 | $4.27 |
SummaCare Setting Professional Modifier None Typical Low $3.16 Median $3.72 Typical High $5.01 | Professional | None | $3.16 | $3.72 | $5.01 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.78 Typical High $2.19 | Professional | None | $1.20 | $1.78 | $2.19 |
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 $0.16 Median $0.16 Typical High $0.21 | Professional | RR · Rental | $0.16 | $0.16 | $0.21 |
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
$1.86
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.