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 $1,071.52 Median $1,071.52 Typical High $5,248.07 | Facility | None | $1,071.52 | $1,071.52 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,630.78 | Professional | None | $1,071.52 | $1,071.52 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $4,786.30 | Facility | None | $2,089.30 | $2,570.40 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,318.26 | $2,454.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $891.25 Typical High $1,174.90 | Professional | UE · Used equipment | $794.33 | $891.25 | $1,174.90 |
CareSource Setting Facility Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,659.59 | $2,187.76 |
CareSource Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,445.44 | $1,995.26 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,862.09 | $2,511.89 |
SummaCare Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $3,548.13 | Professional | None | $2,238.72 | $2,290.87 | $3,548.13 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,162.28 | Facility | None | $2,238.72 | $2,238.72 | $3,162.28 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,584.89 | Professional | None | $724.44 | $1,096.48 | $1,584.89 |
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 $131.83 Median $131.83 Typical High $141.25 | Professional | RR · Rental | $131.83 | $131.83 | $141.25 |
Where Ohio sits
The same service costs 2.4 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· 33rd of 51
$1,259
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.