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 $0.60 Median $0.60 Typical High $3.02 | Facility | None | $0.60 | $0.60 | $3.02 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $3.02 | Professional | None | $0.60 | $0.60 | $3.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $1.45 | Professional | None | $0.62 | $0.62 | $1.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.32 Median $0.42 Typical High $0.62 | Professional | UE · Used equipment | $0.32 | $0.42 | $0.62 |
CareSource Setting Facility Modifier None Typical Low $0.48 Median $0.71 Typical High $0.95 | Facility | None | $0.48 | $0.71 | $0.95 |
CareSource Setting Professional Modifier None Typical Low $0.62 Median $0.85 Typical High $1.29 | Professional | None | $0.62 | $0.85 | $1.29 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | None | $0.49 | $0.49 | $0.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | None | $0.49 | $0.49 | $0.58 |
Molina Setting Professional Modifier None Typical Low $0.43 Median $0.59 Typical High $0.79 | Professional | None | $0.43 | $0.59 | $0.79 |
SummaCare Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.51 | Professional | None | $0.98 | $0.98 | $1.51 |
United Setting Professional Modifier None Typical Low $0.27 Median $0.46 Typical High $0.69 | Professional | None | $0.27 | $0.46 | $0.69 |
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 $0.06 Median $0.06 Typical High $0.06 | Professional | RR · Rental | $0.06 | $0.06 | $0.06 |
Where Ohio sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 33rd of 51
$0.60
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.