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 $7.08 Median $7.08 Typical High $19.95 | Facility | None | $7.08 | $7.08 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | None | $7.08 | $7.08 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $6.61 Typical High $15.49 | Professional | None | $3.80 | $6.61 | $15.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $4.47 Typical High $5.37 | Professional | UE · Used equipment | $3.98 | $4.47 | $5.37 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $14.45 | Facility | None | $8.32 | $8.32 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $14.79 | Professional | None | $8.32 | $8.32 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $9.55 | Professional | None | $4.68 | $6.31 | $9.55 |
SummaCare Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $15.49 | Professional | None | $9.55 | $11.22 | $15.49 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.50 Typical High $6.76 | Professional | None | $3.72 | $5.50 | $6.76 |
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 $0.49 Median $0.49 Typical High $0.54 | Professional | RR · Rental | $0.49 | $0.49 | $0.54 |
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· 42nd of 51
$5.62
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.