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 $28.84 Median $28.84 Typical High $162.18 | Facility | None | $28.84 | $28.84 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $151.36 | Professional | None | $28.84 | $28.84 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $117.49 | Facility | None | $52.48 | $64.57 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $79.43 | Professional | None | $44.67 | $54.95 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $40.74 Typical High $54.95 | Professional | UE · Used equipment | $37.15 | $40.74 | $54.95 |
Aultcare Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $47.86 Typical High $63.10 | Facility | None | $31.62 | $47.86 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $85.11 | Professional | None | $41.69 | $57.54 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $57.54 | Professional | None | $32.36 | $41.69 | $57.54 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $91.20 | Professional | None | $48.98 | $67.61 | $91.20 |
SummaCare Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $131.83 | Professional | None | $83.18 | $89.13 | $131.83 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $120.23 | Facility | None | $85.11 | $85.11 | $120.23 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $63.10 | Professional | None | $30.20 | $46.77 | $63.10 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.50 | $5.50 | $5.50 |
Where Ohio sits
The same service costs 3.2 times more in Hawaii than in Utah. 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· 37th of 51
$48.98
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.