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 $776.25 Median $776.25 Typical High $3,890.45 | Facility | None | $776.25 | $776.25 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,691.53 | Professional | None | $776.25 | $776.25 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $3,467.37 | Facility | None | $1,513.56 | $1,905.46 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $2,089.30 | Professional | None | $724.44 | $870.96 | $2,089.30 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,621.81 | Facility | None | $794.33 | $1,202.26 | $1,621.81 |
CareSource Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,445.44 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,380.38 | $1,862.09 |
SummaCare Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,659.59 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,344.23 | Facility | None | $1,659.59 | $1,659.59 | $2,344.23 |
United Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,148.15 | Professional | None | $537.03 | $794.33 | $1,148.15 |
2 more rates 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 $87.10 Median $87.10 Typical High $93.33 | Professional | RR · Rental | $87.10 | $87.10 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $707.95 | Professional | UE · Used equipment | $660.69 | $660.69 | $707.95 |
Where Ohio sits
The same service costs 2.5 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· 36th of 51
$871
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.