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 $10.00 Median $10.00 Typical High $25.12 | Facility | None | $10.00 | $10.00 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.95 | Professional | None | $10.00 | $10.00 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $20.42 | Professional | None | $7.08 | $8.91 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $6.17 Typical High $8.51 | Professional | UE · Used equipment | $5.37 | $6.17 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $12.02 Typical High $15.85 | Facility | None | $7.94 | $12.02 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $21.38 | Professional | None | $10.23 | $14.13 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.55 | Facility | None | $9.33 | $9.33 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $7.76 | Professional | None | $6.61 | $7.76 | $7.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.55 | Facility | None | $9.33 | $9.33 | $9.55 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $7.76 | Professional | None | $6.61 | $7.76 | $7.76 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $15.85 | Professional | None | $8.51 | $11.75 | $15.85 |
SummaCare Setting Professional Modifier None Typical Low $16.22 Median $16.60 Typical High $25.70 | Professional | None | $16.22 | $16.60 | $25.70 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.59 Typical High $11.48 | Professional | None | $4.68 | $7.59 | $11.48 |
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 $1.00 Median $1.00 Typical High $1.10 | Professional | RR · Rental | $1.00 | $1.00 | $1.10 |
Where Ohio sits
The same service costs 2.4 times more in Minnesota 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
$7.76
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.