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 $295.12 Median $812.83 Typical High $1,000.00 | Facility | None | $295.12 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $870.96 | Professional | None | $295.12 | $295.12 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $870.96 | Professional | None | $354.81 | $354.81 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $1,202.26 | Facility | None | $524.81 | $645.65 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $741.31 | Professional | None | $302.00 | $398.11 | $741.31 |
Aultcare Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $549.54 | Facility | None | $275.42 | $416.87 | $549.54 |
CareSource Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $741.31 | Professional | None | $354.81 | $501.19 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $416.87 | Facility | None | $371.54 | $371.54 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $524.81 | Professional | None | $295.12 | $398.11 | $524.81 |
SummaCare Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $891.25 | Professional | None | $562.34 | $562.34 | $891.25 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $794.33 | Facility | None | $562.34 | $562.34 | $794.33 |
United Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $398.11 | Professional | None | $181.97 | $263.03 | $398.11 |
2 more rates 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 $30.20 Median $30.20 Typical High $38.90 | Professional | RR · Rental | $30.20 | $30.20 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | UE · Used equipment | $223.87 | $223.87 | $288.40 |
Where Ohio sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 24th of 51
$380
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.