How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,148 to $30,903Professionalmedian $6,607 · 10th to 90th $5,495 to $13,183
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 $8,317.64 Median $8,317.64 Typical High $44,668.36 | Facility | None | $8,317.64 | $8,317.64 | $44,668.36 |
Aetna Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $30,902.95 | Professional | None | $8,317.64 | $8,317.64 | $30,902.95 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2,398.83 Median $2,884.03 Typical High $4,168.69 | Professional | RR · Rental | $2,398.83 | $2,884.03 | $4,168.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6,165.95 Median $6,165.95 Typical High $23,442.29 | Professional | UE · Used equipment | $6,165.95 | $6,165.95 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $12,589.25 | Professional | None | $6,456.54 | $6,456.54 | $12,589.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $645.65 Median $660.69 Typical High $1,905.46 | Professional | RR · Rental | $645.65 | $660.69 | $1,905.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,897.79 Median $5,011.87 Typical High $7,079.46 | Professional | UE · Used equipment | $4,897.79 | $5,011.87 | $7,079.46 |
CareSource Setting Facility Modifier None Typical Low $776.25 Median $1,548.82 Typical High $9,332.54 | Facility | None | $776.25 | $1,548.82 | $9,332.54 |
CareSource Setting Professional Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $10,000.00 | Professional | None | $1,000.00 | $2,089.30 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $933.25 Median $2,511.89 Typical High $15,488.17 | Professional | None | $933.25 | $2,511.89 | $15,488.17 |
United Setting Professional Modifier None Typical Low $4,365.16 Median $6,456.54 Typical High $9,332.54 | Professional | None | $4,365.16 | $6,456.54 | $9,332.54 |
United Setting Professional Modifier RR · Rental Typical Low $457.09 Median $741.31 Typical High $1,122.02 | Professional | RR · Rental | $457.09 | $741.31 | $1,122.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $4,786.30 Typical High $7,079.46 | Professional | UE · Used equipment | $3,235.94 | $4,786.30 | $7,079.46 |
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 |
|---|---|---|---|---|---|
SummaCare Setting Professional Modifier KF · Class III device Typical Low $15,848.93 Median $15,848.93 Typical High $25,118.86 | Professional | KF · Class III device | $15,848.93 | $15,848.93 | $25,118.86 |
Where Ohio sits
The same service costs 8.3 times more in North Dakota than in Washington. 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· 45th of 51
$6,607
ND $17,783WA $2,138
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.