How much rates vary
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 $1,202.26 Median $1,202.26 Typical High $11,748.98 | Facility | None | $1,202.26 | $1,202.26 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $8,128.31 | Professional | None | $1,202.26 | $1,258.93 | $8,128.31 |
Aetna Setting Professional Modifier RR · Rental Typical Low $234.42 Median $977.24 Typical High $1,445.44 | Professional | RR · Rental | $234.42 | $977.24 | $1,445.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $6,025.60 | Professional | UE · Used equipment | $891.25 | $891.25 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $4,265.80 Typical High $6,456.54 | Professional | None | $1,737.80 | $4,265.80 | $6,456.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $181.97 Median $389.05 Typical High $524.81 | Professional | RR · Rental | $181.97 | $389.05 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $3,162.28 Typical High $3,548.13 | Professional | UE · Used equipment | $1,318.26 | $3,162.28 | $3,548.13 |
Aultcare Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RR · Rental | $562.34 | $562.34 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $2,818.38 | Facility | None | $123.03 | $245.47 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $2,951.21 | Professional | None | $158.49 | $331.13 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $3,388.44 | Facility | None | $2,187.76 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $338.84 | Facility | RR · Rental | $177.83 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | RR · Rental | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $3,388.44 | Facility | None | $2,187.76 | $3,388.44 | $3,388.44 |
Medical Mutual of Ohio Setting Facility Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $338.84 | Facility | RR · Rental | $177.83 | $177.83 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $177.83 Median $1,513.56 Typical High $1,513.56 | Professional | None | $177.83 | $1,513.56 | $1,513.56 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | RR · Rental | $151.36 | $151.36 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $630.96 Typical High $3,388.44 | Professional | None | $186.21 | $630.96 | $3,388.44 |
SummaCare Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $11,220.18 | Professional | None | $5,623.41 | $5,623.41 | $11,220.18 |
United Setting Professional Modifier None Typical Low $177.83 Median $691.83 Typical High $3,548.13 | Professional | None | $177.83 | $691.83 | $3,548.13 |
United Setting Professional Modifier RR · Rental Typical Low $109.65 Median $269.15 Typical High $562.34 | Professional | RR · Rental | $109.65 | $269.15 | $562.34 |
United Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $794.33 Typical High $1,230.27 | Professional | UE · Used equipment | $489.78 | $794.33 | $1,230.27 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | MS · Maintenance fee | $1,258.93 | $1,258.93 | $1,258.93 |
Where Ohio sits
The same service costs 22.9 times more in South Carolina than in Montana. 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· 4th of 51
$3,020
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.