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 $1,000.00 Median $1,000.00 Typical High $2,754.23 | Facility | None | $1,000.00 | $1,000.00 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,000.00 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $3,981.07 | Facility | None | $1,778.28 | $2,187.76 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $2,137.96 | Professional | None | $891.25 | $1,000.00 | $2,137.96 |
CareSource Setting Facility Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,862.09 | Facility | None | $933.25 | $1,380.38 | $1,862.09 |
CareSource Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,659.59 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,584.89 | $2,137.96 |
SummaCare Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,862.09 | $1,905.46 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,691.53 | Facility | None | $1,905.46 | $1,905.46 | $2,691.53 |
United Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,318.26 | Professional | None | $616.60 | $891.25 | $1,318.26 |
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 $100.00 Median $100.00 Typical High $107.15 | Professional | RR · Rental | $100.00 | $100.00 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $812.83 | Professional | UE · Used equipment | $758.58 | $758.58 | $812.83 |
Where Ohio sits
The same service costs 2.6 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· 36th of 51
$1,000
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.