How much rates vary
Facilitymedian $1,122 · 10th to 90th $955 to $1,445Professionalmedian $1,202 · 10th to 90th $741 to $1,622
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 $954.99 Median $954.99 Typical High $7,244.36 | Facility | None | $954.99 | $954.99 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $954.99 Typical High $5,011.87 | Professional | None | $263.03 | $954.99 | $5,011.87 |
Aetna Setting Professional Modifier RR · Rental Typical Low $75.86 Median $309.03 Typical High $446.68 | Professional | RR · Rental | $75.86 | $309.03 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $724.44 Typical High $2,089.30 | Professional | UE · Used equipment | $724.44 | $724.44 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,230.27 | $1,778.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $120.23 Median $125.89 Typical High $234.42 | Professional | RR · Rental | $120.23 | $125.89 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $912.01 Typical High $977.24 | Professional | UE · Used equipment | $870.96 | $912.01 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $2,041.74 | Facility | None | $89.13 | $177.83 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $2,187.76 | Professional | None | $117.49 | $239.88 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,122.02 | $1,445.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $144.54 | Facility | RR · Rental | $112.20 | $112.20 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | RR · Rental | $95.50 | $95.50 | $112.20 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $707.95 | $707.95 | $707.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,122.02 | $1,445.44 |
Medical Mutual of Ohio Setting Facility Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $144.54 | Facility | RR · Rental | $112.20 | $112.20 | $144.54 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $95.50 Median $954.99 Typical High $1,122.02 | Professional | None | $95.50 | $954.99 | $1,122.02 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | RR · Rental | $95.50 | $95.50 | $112.20 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $707.95 | $707.95 | $707.95 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $213.80 Typical High $1,412.54 | Professional | None | $79.43 | $213.80 | $1,412.54 |
SummaCare Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,137.96 | $4,265.80 |
United Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,318.26 | Professional | None | $537.03 | $812.83 | $1,318.26 |
United Setting Professional Modifier RR · Rental Typical Low $69.18 Median $97.72 Typical High $158.49 | Professional | RR · Rental | $69.18 | $97.72 | $158.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $602.56 Typical High $977.24 | Professional | UE · Used equipment | $407.38 | $602.56 | $977.24 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | MS · Maintenance fee | $251.19 | $251.19 | $251.19 |
Where Ohio sits
The same service costs 14.5 times more in North Dakota 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· 23rd of 51
$1,202
ND $2,042IL $141
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.