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 $8.71 Median $8.71 Typical High $25.70 | Facility | None | $8.71 | $8.71 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $13.18 | Professional | None | $8.71 | $8.71 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $19.50 | Professional | None | $4.27 | $5.89 | $19.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $5.25 Typical High $6.03 | Professional | UE · Used equipment | $4.47 | $5.25 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | None | $18.20 | $18.20 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $11.75 | Professional | None | $5.75 | $7.94 | $11.75 |
SummaCare Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $19.50 | Professional | None | $12.02 | $14.13 | $19.50 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $8.51 | Professional | None | $4.57 | $6.92 | $8.51 |
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 $0.60 Median $0.60 Typical High $0.66 | Professional | RR · Rental | $0.60 | $0.60 | $0.66 |
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· 41st of 51
$7.08
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.