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 $245.47 Median $245.47 Typical High $3,630.78 | Facility | None | $245.47 | $245.47 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $2,511.89 | Professional | None | $245.47 | $245.47 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $1,071.52 | Facility | None | $478.63 | $588.84 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $645.65 | Professional | None | $213.80 | $269.15 | $645.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $181.97 Typical High $239.88 | Professional | UE · Used equipment | $158.49 | $181.97 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $501.19 | Facility | None | $251.19 | $371.54 | $501.19 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $676.08 | Professional | None | $323.59 | $446.68 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | None | $234.42 | $234.42 | $323.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | None | $234.42 | $234.42 | $323.59 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $575.44 | Professional | None | $309.03 | $426.58 | $575.44 |
SummaCare Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $794.33 | Professional | None | $501.19 | $512.86 | $794.33 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $724.44 | Facility | None | $512.86 | $512.86 | $724.44 |
United Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $363.08 | Professional | None | $165.96 | $245.47 | $363.08 |
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 $30.20 Median $30.20 Typical High $32.36 | Professional | RR · Rental | $30.20 | $30.20 | $32.36 |
Where Ohio sits
The same service costs 2.2 times more in Montana than in Vermont. 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· 42nd of 51
$257
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.