How much rates vary
Facilitymedian $3,981 · 10th to 90th $3,311 to $6,166Professionalmedian $1,622 · 10th to 90th $1,288 to $3,715
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 $2,691.53 Median $2,691.53 Typical High $8,128.31 | Facility | None | $2,691.53 | $2,691.53 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $2,691.53 Typical High $5,623.41 | Professional | None | $26.92 | $2,691.53 | $5,623.41 |
Aetna Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $933.25 | Professional | RR · Rental | $426.58 | $426.58 | $933.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $4,365.16 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $4,365.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $6,165.95 | Facility | None | $3,467.37 | $3,981.07 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,951.21 | Professional | None | $1,621.81 | $1,621.81 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | RR · Rental | $162.18 | $162.18 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | UE · Used equipment | $1,202.26 | $1,202.26 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $3,162.28 | Professional | None | $239.88 | $354.81 | $3,162.28 |
SummaCare Setting Professional Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $7,413.10 | Professional | None | $3,162.28 | $3,890.45 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,454.71 Typical High $4,677.35 | Professional | None | $1,230.27 | $2,454.71 | $4,677.35 |
United Setting Professional Modifier RR · Rental Typical Low $223.87 Median $389.05 Typical High $741.31 | Professional | RR · Rental | $223.87 | $389.05 | $741.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $1,862.09 Typical High $3,548.13 | Professional | UE · Used equipment | $912.01 | $1,862.09 | $3,548.13 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | MS · Maintenance fee | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier MS · Maintenance fee Typical Low $295.12 Median $371.54 Typical High $489.78 | Professional | MS · Maintenance fee | $295.12 | $371.54 | $489.78 |
Where Ohio sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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
$1,622
WI $4,266IL $1,175
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.