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 $54.95 Median $54.95 Typical High $213.80 | Facility | None | $54.95 | $54.95 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $147.91 | Professional | None | $54.95 | $54.95 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $112.20 Typical High $177.83 | Facility | None | $97.72 | $112.20 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $117.49 | Professional | None | $48.98 | $51.29 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $102.33 | Facility | None | $51.29 | $77.62 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $138.04 | Professional | None | $66.07 | $93.33 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $123.03 | Professional | None | $66.07 | $91.20 | $123.03 |
SummaCare Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | None | $104.71 | $104.71 | $165.96 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $147.91 | Facility | None | $104.71 | $104.71 | $147.91 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $74.13 | Professional | None | $33.88 | $48.98 | $74.13 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $5.50 | Professional | RR · Rental | $5.13 | $5.13 | $5.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | UE · Used equipment | $38.90 | $38.90 | $41.69 |
Where Ohio sits
The same service costs 2.3 times more in Montana than in New Mexico. 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· 41st of 51
$52.48
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.