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 $229.09 Median $229.09 Typical High $707.95 | Facility | None | $229.09 | $229.09 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $660.69 | Professional | None | $229.09 | $229.09 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $933.25 | Facility | None | $407.38 | $512.86 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $549.54 | Professional | None | $208.93 | $234.42 | $549.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $173.78 Typical High $229.09 | Professional | UE · Used equipment | $158.49 | $173.78 | $229.09 |
Aultcare Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $436.52 | Facility | None | $213.80 | $323.59 | $436.52 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $588.84 | Professional | None | $281.84 | $389.05 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $501.19 | Professional | None | $269.15 | $371.54 | $501.19 |
SummaCare Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $691.83 | Professional | None | $436.52 | $446.68 | $691.83 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $630.96 | Facility | None | $446.68 | $446.68 | $630.96 |
United Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $309.03 | Professional | None | $141.25 | $208.93 | $309.03 |
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 $23.44 Median $23.44 Typical High $25.12 | Professional | RR · Rental | $23.44 | $23.44 | $25.12 |
Where Ohio sits
The same service costs 2.5 times more in Montana 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· 41st of 51
$229
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.