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 $102.33 Median $151.36 Typical High $446.68 | Facility | None | $102.33 | $151.36 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $338.84 | Professional | None | $102.33 | $102.33 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $416.87 | Facility | None | $186.21 | $229.09 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $251.19 | Professional | None | $93.33 | $109.65 | $251.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $79.43 Typical High $102.33 | Professional | UE · Used equipment | $70.79 | $79.43 | $102.33 |
Aultcare Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $194.98 | Facility | None | $97.72 | $144.54 | $194.98 |
CareSource Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $263.03 | Professional | None | $125.89 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $177.83 | Professional | None | $95.50 | $131.83 | $177.83 |
SummaCare Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $309.03 | Professional | None | $194.98 | $199.53 | $309.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $281.84 | Facility | None | $199.53 | $199.53 | $281.84 |
United Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $138.04 | Professional | None | $64.57 | $93.33 | $138.04 |
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 $10.72 Median $10.72 Typical High $11.48 | Professional | RR · Rental | $10.72 | $10.72 | $11.48 |
Where Ohio sits
The same service costs 2.6 times more in Kansas 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
$102
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.