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 $91.20 Median $251.19 Typical High $323.59 | Facility | None | $91.20 | $251.19 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $323.59 | Professional | None | $85.11 | $91.20 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $371.54 | Facility | None | $162.18 | $204.17 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $218.78 | Professional | None | $83.18 | $89.13 | $218.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $64.57 Typical High $89.13 | Professional | UE · Used equipment | $63.10 | $64.57 | $89.13 |
Aultcare Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $173.78 | Facility | None | $87.10 | $128.82 | $173.78 |
CareSource Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $234.42 | Professional | None | $112.20 | $154.88 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $213.80 | Professional | None | $85.11 | $85.11 | $213.80 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $134.90 | Professional | None | $72.44 | $100.00 | $134.90 |
SummaCare Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $275.42 | Professional | None | $173.78 | $177.83 | $275.42 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $194.98 | Facility | None | $72.44 | $89.13 | $194.98 |
United Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $123.03 | Professional | None | $54.95 | $81.28 | $123.03 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | RR · Rental | $8.51 | $8.51 | $9.33 |
Where Ohio sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 31st of 51
$89.13
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.