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 $575.44 Median $575.44 Typical High $2,630.27 | Facility | None | $575.44 | $575.44 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,819.70 | Professional | None | $575.44 | $575.44 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,412.54 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $1,318.26 | Professional | None | $588.84 | $602.56 | $1,318.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $457.09 Typical High $630.96 | Professional | UE · Used equipment | $446.68 | $457.09 | $630.96 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $1,000.00 | Facility | None | $501.19 | $758.58 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,348.96 | Professional | None | $660.69 | $912.01 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,174.90 | Professional | None | $645.65 | $870.96 | $1,174.90 |
SummaCare Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,230.27 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,621.81 | Facility | None | $1,148.15 | $1,148.15 | $1,621.81 |
United Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $851.14 | Professional | None | $389.05 | $588.84 | $851.14 |
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 $60.26 Median $60.26 Typical High $64.57 | Professional | RR · Rental | $60.26 | $60.26 | $64.57 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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
$603
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.