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 $524.81 Median $524.81 Typical High $1,621.81 | Facility | None | $524.81 | $524.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,513.56 | Professional | None | $524.81 | $524.81 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,174.90 Typical High $2,137.96 | Facility | None | $954.99 | $1,174.90 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $1,071.52 | Professional | None | $478.63 | $501.19 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $380.19 Typical High $512.86 | Professional | UE · Used equipment | $363.08 | $380.19 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,000.00 | Facility | None | $501.19 | $741.31 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,348.96 | Professional | None | $645.65 | $891.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,148.15 | Professional | None | $616.60 | $851.14 | $1,148.15 |
SummaCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,584.89 | Professional | None | $1,000.00 | $1,023.29 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,023.29 | $1,445.44 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $707.95 | Professional | None | $331.13 | $478.63 | $707.95 |
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 $50.12 Median $50.12 Typical High $70.79 | Professional | RR · Rental | $50.12 | $50.12 | $70.79 |
Where Ohio sits
The same service costs 2.5 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· 31st 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.