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 $575.44 Median $1,584.89 Typical High $1,949.84 | Facility | None | $575.44 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,659.59 | Professional | None | $575.44 | $575.44 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,344.23 | Facility | None | $1,047.13 | $1,288.25 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $1,380.38 | Professional | None | $457.09 | $524.81 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $398.11 Typical High $562.34 | Professional | UE · Used equipment | $199.53 | $398.11 | $562.34 |
Aultcare Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $1,096.48 | Facility | None | $549.54 | $812.83 | $1,096.48 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,479.11 | Professional | None | $707.95 | $977.24 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Facility | None | $707.95 | $707.95 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Facility | None | $707.95 | $707.95 | $741.31 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $512.86 | Professional | None | $275.42 | $380.19 | $512.86 |
SummaCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,122.02 | $1,737.80 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $1,318.26 | Facility | None | $316.23 | $316.23 | $1,318.26 |
United Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $776.25 | Professional | None | $363.08 | $524.81 | $776.25 |
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 $45.71 Median $45.71 Typical High $48.98 | Professional | RR · Rental | $45.71 | $45.71 | $48.98 |
Where Ohio sits
The same service costs 2.1 times more in Iowa than in New Hampshire. 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· 45th of 51
$525
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.