How much rates vary
Facilitymedian $15 · 10th to 90th $13 to $25Professionalmedian $7 · 10th to 90th $5 to $16
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 $7.41 Median $20.42 Typical High $25.70 | Facility | None | $7.41 | $20.42 | $25.70 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $5.62 Median $15.49 Typical High $19.95 | Facility | UE · Used equipment | $5.62 | $15.49 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $22.91 | Professional | None | $7.41 | $7.41 | $22.91 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.78 Median $0.78 Typical High $0.95 | Professional | RR · Rental | $0.78 | $0.78 | $0.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.62 Median $5.62 Typical High $9.77 | Professional | UE · Used equipment | $5.62 | $5.62 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $15.14 Typical High $23.99 | Facility | None | $13.18 | $15.14 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $18.62 | Professional | None | $4.27 | $7.08 | $18.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.44 Median $0.62 Typical High $1.74 | Professional | RR · Rental | $0.44 | $0.62 | $1.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $5.75 Typical High $7.76 | Professional | UE · Used equipment | $4.47 | $5.75 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $1.86 Median $13.49 Typical High $18.20 | Facility | None | $1.86 | $13.49 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $1.86 Median $14.13 Typical High $19.05 | Professional | None | $1.86 | $14.13 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $14.79 | Professional | None | $7.24 | $10.00 | $14.79 |
SummaCare Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $19.50 | Professional | None | $12.02 | $14.13 | $19.50 |
SummaCare Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.48 Typical High $2.00 | Professional | RR · Rental | $1.26 | $1.48 | $2.00 |
SummaCare Setting Professional Modifier UE · Used equipment Typical Low $8.91 Median $10.72 Typical High $14.45 | Professional | UE · Used equipment | $8.91 | $10.72 | $14.45 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $8.51 | Professional | None | $4.57 | $6.92 | $8.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.71 Typical High $0.85 | Professional | RR · Rental | $0.48 | $0.71 | $0.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.13 Typical High $6.31 | Professional | UE · Used equipment | $3.47 | $5.13 | $6.31 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | MS · Maintenance fee | $0.78 | $0.78 | $0.78 |
Where Ohio sits
The same service costs 11.2 times more in Minnesota 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· 37th of 51
$7.08
MN $15.14IL $1.35
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.