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 $660.69 Median $660.69 Typical High $3,090.30 | Facility | None | $660.69 | $660.69 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $2,884.03 | Professional | None | $660.69 | $660.69 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,691.53 | Facility | None | $1,174.90 | $1,479.11 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,621.81 | Professional | None | $602.56 | $676.08 | $1,621.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $501.19 Typical High $660.69 | Professional | UE · Used equipment | $457.09 | $501.19 | $660.69 |
Aultcare Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $1,230.27 | Facility | None | $616.60 | $933.25 | $1,230.27 |
CareSource Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,698.24 | Professional | None | $812.83 | $1,122.02 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,230.27 | Professional | None | $676.08 | $912.01 | $1,230.27 |
SummaCare Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,258.93 | $1,288.25 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,819.70 | Facility | None | $1,288.25 | $1,288.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $891.25 | Professional | None | $407.38 | $602.56 | $891.25 |
2 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | KX · Policy requirements met | $954.99 | $954.99 | $954.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | RR · Rental | $66.07 | $66.07 | $67.61 |
Where Ohio sits
The same service costs 2.2 times more in Iowa 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· 39th of 51
$661
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.