How much rates vary
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 $22.91 Median $602.56 Typical High $602.56 | Facility | None | $22.91 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $602.56 Typical High $602.56 | Professional | None | $23.99 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $43.65 | Professional | None | $14.79 | $14.79 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,258.93 | Professional | None | $851.14 | $851.14 | $1,258.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | RR · Rental | $85.11 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | UE · Used equipment | $645.65 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Cigna Setting Facility Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $120.23 | Facility | RR · Rental | $114.82 | $114.82 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Medical Mutual of Ohio Setting Facility Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $120.23 | Facility | RR · Rental | $114.82 | $114.82 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | None | $831.76 | $831.76 | $977.24 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $2,951.21 | Professional | None | $245.47 | $416.87 | $2,951.21 |
United Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $1,513.56 | Professional | None | $346.74 | $467.74 | $1,513.56 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $46.77 Typical High $151.36 | Professional | RR · Rental | $34.67 | $46.77 | $151.36 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $346.74 Typical High $1,122.02 | Professional | UE · Used equipment | $263.03 | $346.74 | $1,122.02 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Where Ohio sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 13th of 51
$851
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.