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 $1,202.26 Median $1,202.26 Typical High $5,248.07 | Facility | None | $1,202.26 | $1,202.26 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,630.78 | Professional | None | $1,202.26 | $1,202.26 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $5,370.32 | Facility | None | $2,344.23 | $2,884.03 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $3,162.28 | Professional | None | $1,096.48 | $1,348.96 | $3,162.28 |
CareSource Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,230.27 | $1,862.09 | $2,454.71 |
CareSource Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,584.89 | $2,238.72 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,513.56 | $2,089.30 | $2,818.38 |
SummaCare Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,981.07 | Professional | None | $2,511.89 | $2,511.89 | $3,981.07 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,548.13 | Facility | None | $2,511.89 | $2,511.89 | $3,548.13 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,778.28 | Professional | None | $812.83 | $1,230.27 | $1,778.28 |
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 $134.90 Median $134.90 Typical High $144.54 | Professional | RR · Rental | $134.90 | $134.90 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | UE · Used equipment | $1,000.00 | $1,000.00 | $1,071.52 |
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· 43rd of 51
$1,318
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.