How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $23.99 Median $66.07 Typical High $81.28 | Facility | None | $23.99 | $66.07 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | None | $23.99 | $23.99 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $66.07 | Facility | None | $36.31 | $42.66 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $51.29 | Professional | None | $23.99 | $33.11 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $25.12 Typical High $34.67 | Professional | UE · Used equipment | $21.38 | $25.12 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $48.98 | Facility | None | $33.11 | $33.11 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $35.48 Typical High $51.29 | Professional | None | $23.99 | $35.48 | $51.29 |
SummaCare Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $53.70 | Professional | None | $33.11 | $38.90 | $53.70 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $46.77 | Facility | None | $33.11 | $33.11 | $46.77 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $29.51 | Professional | None | $14.79 | $22.39 | $29.51 |
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 $3.72 Median $4.17 Typical High $4.17 | Professional | RR · Rental | $3.72 | $4.17 | $4.17 |
Where Ohio sits
The same service costs 3.2 times more in Illinois than in Oklahoma. 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· 30th of 51
$30.20
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.