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 $3,311.31 Median $3,311.31 Typical High $6,760.83 | Facility | None | $3,311.31 | $3,311.31 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $3,311.31 Typical High $3,311.31 | Professional | None | $616.60 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | UE · Used equipment | $2,454.71 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | None | $25.12 | $25.12 | $37.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $33.88 | Professional | UE · Used equipment | $18.62 | $18.62 | $33.88 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | None | $39.81 | $50.12 | $60.26 |
2 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier RR · Rental Typical Low $691.83 Median $831.76 Typical High $1,202.26 | Professional | RR · Rental | $691.83 | $831.76 | $1,202.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $17.38 | Professional | RR · Rental | $2.51 | $2.51 | $17.38 |
Where Ohio sits
The same service costs 195.0 times more in Rhode Island than in Georgia. 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· 43rd of 51
$28.84
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.