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 $1,348.96 | Facility | None | $245.47 | $245.47 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $933.25 | Professional | None | $245.47 | $245.47 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,096.48 | Facility | None | $489.78 | $602.56 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $549.54 | Professional | None | $245.47 | $257.04 | $549.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $194.98 Typical High $257.04 | Professional | UE · Used equipment | $186.21 | $194.98 | $257.04 |
Aultcare Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $416.87 | Facility | None | $208.93 | $316.23 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $562.34 | Professional | None | $269.15 | $380.19 | $562.34 |
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 $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $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 $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $512.86 | Professional | None | $275.42 | $380.19 | $512.86 |
SummaCare Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $812.83 | Professional | None | $512.86 | $524.81 | $812.83 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $676.08 | Facility | None | $478.63 | $478.63 | $676.08 |
United Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $363.08 | Professional | None | $169.82 | $251.19 | $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 $25.70 Median $25.70 Typical High $27.54 | Professional | RR · Rental | $25.70 | $25.70 | $27.54 |
Where Ohio sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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· 39th 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.