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 $169.82 Median $309.03 Typical High $575.44 | Facility | None | $169.82 | $309.03 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $489.78 | Professional | None | $169.82 | $169.82 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $691.83 | Facility | None | $302.00 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $407.38 | Professional | None | $154.88 | $177.83 | $407.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $125.89 Typical High $162.18 | Professional | UE · Used equipment | $114.82 | $125.89 | $162.18 |
CareSource Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $316.23 | Facility | None | $158.49 | $239.88 | $316.23 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $426.58 | Professional | None | $208.93 | $288.40 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $181.97 | Facility | None | $177.83 | $177.83 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | None | $177.83 | $177.83 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $363.08 | Professional | None | $199.53 | $269.15 | $363.08 |
SummaCare Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $512.86 | Professional | None | $323.59 | $331.13 | $512.86 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $457.09 | Facility | None | $323.59 | $323.59 | $457.09 |
United Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $229.09 | Professional | None | $104.71 | $151.36 | $229.09 |
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 $16.98 Median $16.98 Typical High $18.62 | Professional | RR · Rental | $16.98 | $16.98 | $18.62 |
Where Ohio sits
The same service costs 2.3 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· 40th of 51
$170
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.