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 $2.51 Median $2.51 Typical High $10.96 | Facility | None | $2.51 | $2.51 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $7.94 | Professional | None | $2.51 | $2.51 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $5.25 Typical High $6.17 | Professional | None | $2.24 | $5.25 | $6.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.35 Median $1.82 Typical High $3.98 | Professional | UE · Used equipment | $1.35 | $1.82 | $3.98 |
CareSource Setting Facility Modifier None Typical Low $2.00 Median $3.02 Typical High $3.98 | Facility | None | $2.00 | $3.02 | $3.98 |
CareSource Setting Professional Modifier None Typical Low $2.63 Median $3.63 Typical High $5.37 | Professional | None | $2.63 | $3.63 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.51 | Facility | None | $2.40 | $2.40 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.40 | Professional | None | $2.04 | $2.04 | $2.40 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.51 | Facility | None | $2.40 | $2.40 | $2.51 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.40 | Professional | None | $2.04 | $2.04 | $2.40 |
Molina Setting Professional Modifier None Typical Low $1.82 Median $2.51 Typical High $3.39 | Professional | None | $1.82 | $2.51 | $3.39 |
SummaCare Setting Professional Modifier None Typical Low $4.07 Median $4.17 Typical High $6.46 | Professional | None | $4.07 | $4.17 | $6.46 |
United Setting Professional Modifier None Typical Low $1.17 Median $1.95 Typical High $2.88 | Professional | None | $1.17 | $1.95 | $2.88 |
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 $0.52 Median $0.52 Typical High $0.52 | Professional | RR · Rental | $0.52 | $0.52 | $0.52 |
Where Ohio sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$2.51
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.