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 $3,311.31 Median $3,311.31 Typical High $15,135.61 | Facility | None | $3,311.31 | $3,311.31 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $10,471.29 | Professional | None | $3,311.31 | $3,311.31 | $10,471.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $7,943.28 Typical High $14,791.08 | Facility | None | $6,456.54 | $7,943.28 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $8,709.64 | Professional | None | $3,235.94 | $3,715.35 | $8,709.64 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $2,754.23 Typical High $3,630.78 | Professional | UE · Used equipment | $2,511.89 | $2,754.23 | $3,630.78 |
CareSource Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $6,309.57 | Facility | None | $3,162.28 | $4,786.30 | $6,309.57 |
CareSource Setting Professional Modifier None Typical Low $4,168.69 Median $5,754.40 Typical High $8,511.38 | Professional | None | $4,168.69 | $5,754.40 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,754.23 | $2,754.23 | $3,801.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,754.23 | $2,754.23 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $3,467.37 Median $4,786.30 Typical High $6,456.54 | Professional | None | $3,467.37 | $4,786.30 | $6,456.54 |
SummaCare Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $10,715.19 | Professional | None | $6,918.31 | $6,918.31 | $10,715.19 |
United Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $10,000.00 | Facility | None | $7,079.46 | $7,079.46 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,238.72 | $3,388.44 | $4,897.79 |
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 $371.54 Median $371.54 Typical High $398.11 | Professional | RR · Rental | $371.54 | $371.54 | $398.11 |
Where Ohio sits
The same service costs 4.7 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· 40th of 51
$3,631
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.