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 $63.10 Median $173.78 Typical High $213.80 | Facility | None | $63.10 | $173.78 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $186.21 | Professional | None | $63.10 | $63.10 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $91.20 Typical High $91.20 | Professional | None | $48.98 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $257.04 | Facility | None | $112.20 | $138.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $151.36 | Professional | None | $57.54 | $66.07 | $151.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $47.86 Typical High $63.10 | Professional | UE · Used equipment | $42.66 | $47.86 | $63.10 |
Aultcare Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $117.49 | Facility | None | $58.88 | $89.13 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $158.49 | Professional | None | $77.62 | $107.15 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $70.79 | Professional | None | $47.86 | $66.07 | $70.79 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $117.49 | Professional | None | $63.10 | $87.10 | $117.49 |
SummaCare Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $190.55 | Professional | None | $120.23 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $173.78 | Facility | None | $123.03 | $123.03 | $173.78 |
United Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $85.11 | Professional | None | $38.90 | $57.54 | $85.11 |
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 $6.46 Median $6.46 Typical High $6.92 | Professional | RR · Rental | $6.46 | $6.46 | $6.92 |
Where Ohio sits
The same service costs 2.5 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· 37th of 51
$64.57
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.