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 $1,584.89 Median $1,584.89 Typical High $7,413.10 | Facility | None | $1,584.89 | $1,584.89 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,570.88 | Professional | None | $1,584.89 | $1,584.89 | $4,570.88 |
Ambetter Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,089.30 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $7,079.46 | Facility | None | $3,090.30 | $3,801.89 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,584.89 | $1,995.26 | $3,548.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,174.90 Median $1,318.26 Typical High $1,659.59 | Professional | UE · Used equipment | $1,174.90 | $1,318.26 | $1,659.59 |
Aultcare Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
CareSource Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,311.31 | Facility | None | $1,659.59 | $2,454.71 | $3,311.31 |
CareSource Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,951.21 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,258.93 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,398.83 | $3,235.94 |
SummaCare Setting Professional Modifier None Typical Low $3,311.31 Median $3,388.44 Typical High $5,248.07 | Professional | None | $3,311.31 | $3,388.44 | $5,248.07 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $4,466.84 | Facility | None | $3,162.28 | $3,162.28 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,621.81 | $2,344.23 |
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 $199.53 Median $199.53 Typical High $213.80 | Professional | RR · Rental | $199.53 | $199.53 | $213.80 |
Where Ohio sits
The same service costs 3.4 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· 36th of 51
$1,820
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.