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 $181.97 Median $501.19 Typical High $630.96 | Facility | None | $181.97 | $501.19 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $602.56 | Professional | None | $181.97 | $181.97 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $724.44 | Facility | None | $323.59 | $398.11 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $436.52 | Professional | None | $162.18 | $190.55 | $436.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $138.04 Typical High $177.83 | Professional | UE · Used equipment | $123.03 | $138.04 | $177.83 |
Aultcare Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | None | $288.40 | $288.40 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $309.03 | Facility | None | $154.88 | $234.42 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $416.87 | Professional | None | $199.53 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $263.03 | Professional | None | $141.25 | $194.98 | $263.03 |
SummaCare Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $537.03 | Professional | None | $338.84 | $346.74 | $537.03 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $416.87 | Facility | None | $204.17 | $204.17 | $416.87 |
United Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $245.47 | Professional | None | $112.20 | $162.18 | $245.47 |
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 $18.62 Median $18.62 Typical High $19.05 | Professional | RR · Rental | $18.62 | $18.62 | $19.05 |
Where Ohio sits
The same service costs 3.4 times more in Hawaii than in Alabama. 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
$182
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.