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 $323.59 Median $323.59 Typical High $1,122.02 | Facility | None | $323.59 | $323.59 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,023.29 | Professional | None | $323.59 | $323.59 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $1,318.26 | Facility | None | $575.44 | $707.95 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $776.25 | Professional | None | $288.40 | $323.59 | $776.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $239.88 Typical High $309.03 | Professional | UE · Used equipment | $218.78 | $239.88 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $602.56 | Facility | None | $302.00 | $457.09 | $602.56 |
CareSource Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $812.83 | Professional | None | $389.05 | $537.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $707.95 | Professional | None | $380.19 | $524.81 | $707.95 |
SummaCare Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $977.24 | Professional | None | $616.60 | $630.96 | $977.24 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $870.96 | Facility | None | $616.60 | $616.60 | $870.96 |
United Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $436.52 | Professional | None | $199.53 | $288.40 | $436.52 |
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 $32.36 Median $32.36 Typical High $35.48 | Professional | RR · Rental | $32.36 | $32.36 | $35.48 |
Where Ohio sits
The same service costs 2.4 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
$324
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.