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 $426.58 Median $426.58 Typical High $1,584.89 | Facility | None | $426.58 | $426.58 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $1,479.11 | Professional | None | $426.58 | $426.58 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $1,737.80 | Facility | None | $758.58 | $933.25 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $1,023.29 | Professional | None | $389.05 | $436.52 | $1,023.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $323.59 Typical High $426.58 | Professional | UE · Used equipment | $288.40 | $323.59 | $426.58 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $831.76 | Facility | None | $416.87 | $616.60 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,122.02 | Professional | None | $537.03 | $741.31 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $794.33 | Professional | None | $426.58 | $588.84 | $794.33 |
SummaCare Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,288.25 | Professional | None | $812.83 | $812.83 | $1,288.25 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,174.90 | Facility | None | $831.76 | $831.76 | $1,174.90 |
United Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $575.44 | Professional | None | $263.03 | $380.19 | $575.44 |
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 $43.65 Median $43.65 Typical High $46.77 | Professional | RR · Rental | $43.65 | $43.65 | $46.77 |
Where Ohio sits
The same service costs 3.8 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· 38th of 51
$427
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.