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 $20.42 Median $20.42 Typical High $66.07 | Facility | None | $20.42 | $20.42 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $40.74 | Professional | None | $20.42 | $20.42 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $28.84 | Professional | None | $10.96 | $15.14 | $28.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $11.48 Typical High $16.60 | Professional | UE · Used equipment | $9.77 | $11.48 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $41.69 | Facility | None | $23.99 | $23.99 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | None | $23.99 | $23.99 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $27.54 | Professional | None | $13.49 | $18.62 | $27.54 |
SummaCare Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $44.67 | Professional | None | $27.54 | $32.36 | $44.67 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $19.50 | Professional | None | $10.72 | $15.85 | $19.50 |
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 $1.41 Median $1.41 Typical High $2.24 | Professional | RR · Rental | $1.41 | $1.41 | $2.24 |
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· 36th of 51
$16.22
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.