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 $1,479.11 Median $1,479.11 Typical High $6,760.83 | Facility | None | $1,479.11 | $1,479.11 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $4,677.35 | Professional | None | $1,479.11 | $1,479.11 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $6,606.93 | Facility | None | $2,884.03 | $3,630.78 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $3,890.45 | Professional | None | $1,445.44 | $1,513.56 | $3,890.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,148.15 Typical High $1,548.82 | Professional | UE · Used equipment | $1,122.02 | $1,148.15 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,691.53 | Facility | None | $1,348.96 | $2,041.74 | $2,691.53 |
CareSource Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,454.71 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,548.82 | $1,548.82 | $2,137.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,548.82 | $1,548.82 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,479.11 | $2,137.96 | $3,162.28 |
SummaCare Setting Professional Modifier None Typical Low $3,090.30 Median $3,162.28 Typical High $4,897.79 | Professional | None | $3,090.30 | $3,162.28 | $4,897.79 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,073.80 | Facility | None | $2,884.03 | $2,884.03 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,513.56 | $2,187.76 |
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 $151.36 Median $151.36 Typical High $165.96 | Professional | RR · Rental | $151.36 | $151.36 | $165.96 |
Where Ohio sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 37th of 51
$1,549
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.