How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $490Professionalmedian $427 · 10th to 90th $309 to $676
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 $389.05 Median $389.05 Typical High $1,737.80 | Facility | None | $389.05 | $389.05 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $1,202.26 | Professional | None | $147.91 | $389.05 | $1,202.26 |
Aetna Setting Professional Modifier RR · Rental Typical Low $147.91 Median $177.83 Typical High $257.04 | Professional | RR · Rental | $147.91 | $177.83 | $257.04 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $912.01 | Professional | UE · Used equipment | $288.40 | $288.40 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | None | $426.58 | $426.58 | $707.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $50.12 Typical High $93.33 | Professional | RR · Rental | $42.66 | $50.12 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $371.54 Typical High $407.38 | Professional | UE · Used equipment | $323.59 | $371.54 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $831.76 | Facility | None | $36.31 | $72.44 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $47.86 Median $97.72 Typical High $891.25 | Professional | None | $47.86 | $97.72 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Facility | None | $371.54 | $371.54 | $389.05 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $38.90 | Facility | RR · Rental | $37.15 | $37.15 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $31.62 | $31.62 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Facility | None | $371.54 | $371.54 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $38.90 | Facility | RR · Rental | $37.15 | $37.15 | $38.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $31.62 | $31.62 | $37.15 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $93.33 Typical High $616.60 | Professional | None | $34.67 | $93.33 | $616.60 |
SummaCare Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,698.24 | Professional | None | $851.14 | $851.14 | $1,698.24 |
United Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $501.19 | Professional | None | $194.98 | $316.23 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $27.54 Median $39.81 Typical High $64.57 | Professional | RR · Rental | $27.54 | $39.81 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $239.88 Typical High $371.54 | Professional | UE · Used equipment | $144.54 | $239.88 | $371.54 |
4 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Medical Mutual of Ohio Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Medical Mutual of Ohio Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Where Ohio sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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· 29th of 51
$427
ND $851RI $204
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.