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 $2.69 Median $2.69 Typical High $12.88 | Facility | None | $2.69 | $2.69 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.80 | Professional | None | $2.69 | $2.69 | $3.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.57 Typical High $6.31 | Professional | None | $1.48 | $2.57 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.51 Median $1.74 Typical High $2.24 | Professional | UE · Used equipment | $1.51 | $1.74 | $2.24 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
CareSource Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.75 | Professional | None | $5.50 | $5.50 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Molina Setting Professional Modifier None Typical Low $1.78 Median $2.40 Typical High $3.63 | Professional | None | $1.78 | $2.40 | $3.63 |
SummaCare Setting Professional Modifier None Typical Low $3.72 Median $4.37 Typical High $5.89 | Professional | None | $3.72 | $4.37 | $5.89 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.09 Typical High $2.57 | Professional | None | $1.41 | $2.09 | $2.57 |
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 $0.19 Median $0.19 Typical High $0.30 | Professional | RR · Rental | $0.19 | $0.19 | $0.30 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in Colorado. 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
$2.19
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.