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 $128.82 Median $128.82 Typical High $630.96 | Facility | None | $128.82 | $128.82 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $436.52 | Professional | None | $128.82 | $128.82 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $309.03 Typical High $575.44 | Facility | None | $251.19 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $338.84 | Professional | None | $131.83 | $147.91 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $107.15 Typical High $138.04 | Professional | UE · Used equipment | $97.72 | $107.15 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $245.47 | Facility | None | $123.03 | $181.97 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $331.13 | Professional | None | $158.49 | $218.78 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $346.74 | Professional | None | $190.55 | $257.04 | $346.74 |
SummaCare Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $426.58 | Professional | None | $269.15 | $269.15 | $426.58 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $398.11 | Facility | None | $281.84 | $281.84 | $398.11 |
United Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $190.55 | Professional | None | $87.10 | $131.83 | $190.55 |
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 $14.79 Median $14.79 Typical High $15.85 | Professional | RR · Rental | $14.79 | $14.79 | $15.85 |
Where Ohio sits
The same service costs 3.0 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· 43rd of 51
$148
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.