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 $102.33 Median $281.84 Typical High $346.74 | Facility | None | $102.33 | $281.84 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $309.03 | Professional | None | $102.33 | $102.33 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $416.87 | Facility | None | $181.97 | $223.87 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $245.47 | Professional | None | $93.33 | $107.15 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $77.62 Typical High $102.33 | Professional | UE · Used equipment | $69.18 | $77.62 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $190.55 | Facility | None | $95.50 | $144.54 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Professional | None | $125.89 | $173.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Facility | None | $107.15 | $107.15 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Facility | None | $107.15 | $107.15 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $147.91 | Professional | None | $79.43 | $109.65 | $147.91 |
SummaCare Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $309.03 | Professional | None | $194.98 | $199.53 | $309.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Facility | None | $199.53 | $199.53 | $275.42 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $138.04 | Professional | None | $63.10 | $91.20 | $138.04 |
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 $10.47 Median $10.47 Typical High $11.22 | Professional | RR · Rental | $10.47 | $10.47 | $11.22 |
Where Ohio sits
The same service costs 2.3 times more in Iowa 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· 39th of 51
$105
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.