How much rates vary
Facilitymedian $398 · 10th to 90th $65 to $3,090Professionalmedian $631 · 10th to 90th $398 to $1,072
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $398.11 Median $398.11 Typical High $4,466.84 | Facility | None | $398.11 | $398.11 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $3,090.30 | Professional | None | $158.49 | $398.11 | $3,090.30 |
Aetna Setting Professional Modifier RR · Rental Typical Low $173.78 Median $239.88 Typical High $346.74 | Professional | RR · Rental | $173.78 | $239.88 | $346.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $2,344.23 | Professional | UE · Used equipment | $295.12 | $295.12 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $1,122.02 | Professional | None | $562.34 | $630.96 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | RR · Rental | $56.23 | $70.79 | $100.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $467.74 Typical High $512.86 | Professional | UE · Used equipment | $416.87 | $467.74 | $512.86 |
Aultcare Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $107.15 | $107.15 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $75.86 Typical High $870.96 | Facility | None | $38.02 | $75.86 | $870.96 |
CareSource Setting Professional Modifier None Typical Low $48.98 Median $102.33 Typical High $912.01 | Professional | None | $48.98 | $102.33 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $56.23 | Facility | RR · Rental | $53.70 | $53.70 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | RR · Rental | $45.71 | $45.71 | $53.70 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Medical Mutual of Ohio Setting Facility Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $56.23 | Facility | RR · Rental | $53.70 | $53.70 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | RR · Rental | $45.71 | $45.71 | $53.70 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $112.20 Typical High $741.31 | Professional | None | $41.69 | $112.20 | $741.31 |
SummaCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,148.15 | $2,290.87 |
United Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $707.95 | Professional | None | $269.15 | $446.68 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $53.70 Typical High $93.33 | Professional | RR · Rental | $28.84 | $53.70 | $93.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $331.13 Typical High $524.81 | Professional | UE · Used equipment | $199.53 | $331.13 | $524.81 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | MS · Maintenance fee | $151.36 | $151.36 | $151.36 |
Where Ohio sits
The same service costs 16.6 times more in Kansas 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· 16th of 51
$631
KS $955IL $57.54
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.