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 $93.33 Median $257.04 Typical High $316.23 | Facility | None | $93.33 | $257.04 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $288.40 | Professional | None | $93.33 | $93.33 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $190.55 | Professional | None | $63.10 | $79.43 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $52.48 Typical High $70.79 | Professional | UE · Used equipment | $46.77 | $52.48 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $147.91 | Facility | None | $74.13 | $109.65 | $147.91 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $199.53 | Professional | None | $95.50 | $131.83 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $144.54 | Professional | None | $77.62 | $107.15 | $144.54 |
SummaCare Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $234.42 | Professional | None | $151.36 | $151.36 | $234.42 |
United Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $107.15 | Professional | None | $42.66 | $70.79 | $107.15 |
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 $9.33 Median $9.33 Typical High $10.00 | Professional | RR · Rental | $9.33 | $9.33 | $10.00 |
Where Ohio sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 47th of 51
$77.62
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.