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 $181.97 Typical High $676.08 | Facility | None | $181.97 | $181.97 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $630.96 | Professional | None | $181.97 | $181.97 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $741.31 | Facility | None | $323.59 | $407.38 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $436.52 | Professional | None | $165.96 | $186.21 | $436.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $138.04 Typical High $177.83 | Professional | UE · Used equipment | $125.89 | $138.04 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $338.84 | Facility | None | $169.82 | $257.04 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $467.74 | Professional | None | $223.87 | $309.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $398.11 | Professional | None | $213.80 | $295.12 | $398.11 |
SummaCare Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $549.54 | Professional | None | $346.74 | $354.81 | $549.54 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $501.19 | Facility | None | $354.81 | $354.81 | $501.19 |
United Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $245.47 | Professional | None | $112.20 | $165.96 | $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 $19.95 | Professional | RR · Rental | $18.62 | $18.62 | $19.95 |
Where Ohio sits
The same service costs 4.8 times more in Kansas than in New Jersey. 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
$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.