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 $20.89 Median $20.89 Typical High $61.66 | Facility | None | $20.89 | $20.89 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $38.90 | Professional | None | $20.89 | $20.89 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $26.92 | Professional | None | $10.23 | $14.13 | $26.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $10.72 Typical High $15.14 | Professional | UE · Used equipment | $9.12 | $10.72 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
CareSource Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $18.20 | Professional | None | $13.80 | $18.20 | $18.20 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $18.20 | Professional | None | $13.80 | $18.20 | $18.20 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $28.18 | Professional | None | $13.80 | $19.05 | $28.18 |
SummaCare Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $46.77 | Professional | None | $28.84 | $33.88 | $46.77 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $20.42 | Professional | None | $10.96 | $16.60 | $20.42 |
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 $1.45 Median $1.45 Typical High $2.34 | Professional | RR · Rental | $1.45 | $1.45 | $2.34 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in Ohio. 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· 51st of 51
$14.13
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.