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 $38.90 Median $107.15 Typical High $131.83 | Facility | None | $38.90 | $107.15 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $112.20 | Professional | None | $37.15 | $38.90 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $158.49 | Facility | None | $69.18 | $85.11 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $93.33 | Professional | None | $32.36 | $36.31 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $26.92 Typical High $39.81 | Professional | UE · Used equipment | $24.55 | $26.92 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $58.88 | Facility | None | $28.84 | $43.65 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $79.43 | Professional | None | $38.02 | $52.48 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $38.02 | Facility | None | $36.31 | $36.31 | $38.02 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $57.54 | Professional | None | $30.90 | $42.66 | $57.54 |
SummaCare Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None | $74.13 | $74.13 | $114.82 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $89.13 | Facility | None | $63.10 | $63.10 | $89.13 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $52.48 | Professional | None | $20.89 | $33.88 | $52.48 |
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 $3.24 Median $3.24 Typical High $3.55 | Professional | RR · Rental | $3.24 | $3.24 | $3.55 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii 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· 23rd of 51
$36.31
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.