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 $10,471.29 Median $10,471.29 Typical High $52,480.75 | Facility | None | $10,471.29 | $10,471.29 | $52,480.75 |
Aetna Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $36,307.81 | Professional | None | $10,471.29 | $10,471.29 | $36,307.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,417.38 Median $25,118.86 Typical High $46,773.51 | Facility | None | $20,417.38 | $25,118.86 | $46,773.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $25,118.86 | Professional | None | $11,220.18 | $11,220.18 | $25,118.86 |
Aultcare Setting Professional Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | None | $18,620.87 | $18,620.87 | $18,620.87 |
CareSource Setting Facility Modifier None Typical Low $10,471.29 Median $15,488.17 Typical High $20,892.96 | Facility | None | $10,471.29 | $15,488.17 | $20,892.96 |
CareSource Setting Professional Modifier None Typical Low $13,489.63 Median $18,620.87 Typical High $28,183.83 | Professional | None | $13,489.63 | $18,620.87 | $28,183.83 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
Molina Setting Professional Modifier None Typical Low $13,182.57 Median $18,197.01 Typical High $24,547.09 | Professional | None | $13,182.57 | $18,197.01 | $24,547.09 |
SummaCare Setting Professional Modifier None Typical Low $21,877.62 Median $21,877.62 Typical High $34,673.69 | Professional | None | $21,877.62 | $21,877.62 | $34,673.69 |
United Setting Facility Modifier None Typical Low $21,877.62 Median $21,877.62 Typical High $30,902.95 | Facility | None | $21,877.62 | $21,877.62 | $30,902.95 |
United Setting Professional Modifier None Typical Low $7,079.46 Median $10,715.19 Typical High $15,488.17 | Professional | None | $7,079.46 | $10,715.19 | $15,488.17 |
2 more rates 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 $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | RR · Rental | $1,122.02 | $1,122.02 | $1,230.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8,511.38 Median $8,511.38 Typical High $9,120.11 | Professional | UE · Used equipment | $8,511.38 | $8,511.38 | $9,120.11 |
Where Ohio sits
The same service costs 2.3 times more in Montana 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· 41st of 51
$11,220
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.