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 $125.89 Median $229.09 Typical High $426.58 | Facility | None | $125.89 | $229.09 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $371.54 | Professional | None | $125.89 | $125.89 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | None | $162.18 | $162.18 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $512.86 | Facility | None | $223.87 | $275.42 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $302.00 | Professional | None | $114.82 | $131.83 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $93.33 Typical High $120.23 | Professional | UE · Used equipment | $85.11 | $93.33 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $117.49 Median $177.83 Typical High $234.42 | Facility | None | $117.49 | $177.83 | $234.42 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $316.23 | Professional | None | $151.36 | $213.80 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $20.89 Median $131.83 Typical High $173.78 | Facility | None | $20.89 | $131.83 | $173.78 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $229.09 | Professional | None | $125.89 | $169.82 | $229.09 |
SummaCare Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $380.19 | Professional | None | $239.88 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $338.84 | Facility | None | $239.88 | $239.88 | $338.84 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $169.82 | Professional | None | $77.62 | $112.20 | $169.82 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | GA · Liability notice issued | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | RR · Rental | $12.59 | $12.59 | $13.80 |
Where Ohio sits
The same service costs 2.3 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· 38th of 51
$126
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.