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 $173.78 Median $173.78 Typical High $870.96 | Facility | None | $173.78 | $173.78 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $602.56 | Professional | None | $173.78 | $173.78 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $426.58 Typical High $776.25 | Facility | None | $346.74 | $426.58 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $457.09 | Professional | None | $177.83 | $194.98 | $457.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $147.91 Typical High $190.55 | Professional | UE · Used equipment | $134.90 | $147.91 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $363.08 | Facility | None | $181.97 | $269.15 | $363.08 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $489.78 | Professional | None | $234.42 | $323.59 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | None | $169.82 | $169.82 | $229.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | None | $169.82 | $169.82 | $229.09 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $416.87 | Professional | None | $223.87 | $309.03 | $416.87 |
SummaCare Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $575.44 | Professional | None | $363.08 | $371.54 | $575.44 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Facility | None | $371.54 | $371.54 | $524.81 |
United Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $257.04 | Professional | None | $120.23 | $177.83 | $257.04 |
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 $19.50 Median $19.50 Typical High $20.89 | Professional | RR · Rental | $19.50 | $19.50 | $20.89 |
Where Ohio sits
The same service costs 2.2 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· 37th of 51
$195
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.