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 $158.49 Median $295.12 Typical High $537.03 | Facility | None | $158.49 | $295.12 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $457.09 | Professional | None | $158.49 | $158.49 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $389.05 | Professional | None | $144.54 | $158.49 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $117.49 Typical High $154.88 | Professional | UE · Used equipment | $109.65 | $117.49 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $302.00 | Facility | None | $147.91 | $223.87 | $302.00 |
CareSource Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $407.38 | Professional | None | $194.98 | $269.15 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
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 $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
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 $186.21 Median $257.04 Typical High $338.84 | Professional | None | $186.21 | $257.04 | $338.84 |
SummaCare Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $478.63 | Professional | None | $302.00 | $309.03 | $478.63 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $436.52 | Facility | None | $309.03 | $309.03 | $436.52 |
United Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $213.80 | Professional | None | $97.72 | $144.54 | $213.80 |
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 $15.49 Median $15.49 Typical High $20.89 | Professional | RR · Rental | $15.49 | $15.49 | $20.89 |
Where Ohio sits
The same service costs 2.4 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· 33rd of 51
$158
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.