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 $575.44 Median $575.44 Typical High $7,762.47 | Facility | None | $575.44 | $575.44 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $7,244.36 | Professional | None | $575.44 | $575.44 | $7,244.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,344.23 | Facility | None | $1,023.29 | $1,258.93 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $1,380.38 | Professional | None | $524.81 | $562.34 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $416.87 Typical High $575.44 | Professional | UE · Used equipment | $389.05 | $416.87 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $537.03 Median $812.83 Typical High $1,071.52 | Facility | None | $537.03 | $812.83 | $1,071.52 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,445.44 | Professional | None | $707.95 | $977.24 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,258.93 | Professional | None | $676.08 | $933.25 | $1,258.93 |
SummaCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,122.02 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Facility | None | $1,122.02 | $1,122.02 | $1,548.82 |
United Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $776.25 | Professional | None | $354.81 | $512.86 | $776.25 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | RR · Rental | $56.23 | $56.23 | $75.86 |
Where Ohio sits
The same service costs 2.2 times more in Hawaii than in Delaware. 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· 34th of 51
$562
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.