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 $1,584.89 Median $1,584.89 Typical High $6,025.60 | Facility | None | $1,584.89 | $1,584.89 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,168.69 | Professional | None | $1,584.89 | $1,584.89 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $7,079.46 | Facility | None | $3,162.28 | $3,890.45 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $4,265.80 | Professional | None | $1,584.89 | $1,659.59 | $4,265.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $1,230.27 Typical High $1,778.28 | Professional | UE · Used equipment | $1,202.26 | $1,230.27 | $1,778.28 |
CareSource Setting Facility Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,137.96 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $3,801.89 | Professional | None | $1,819.70 | $2,570.40 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,137.96 | $2,951.21 | $3,981.07 |
SummaCare Setting Professional Modifier None Typical Low $3,311.31 Median $3,388.44 Typical High $5,248.07 | Professional | None | $3,311.31 | $3,388.44 | $5,248.07 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,365.16 | Facility | None | $3,090.30 | $3,090.30 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,621.81 | $2,398.83 |
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 $162.18 Median $162.18 Typical High $173.78 | Professional | RR · Rental | $162.18 | $162.18 | $173.78 |
Where Ohio sits
The same service costs 3.2 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· 32nd of 51
$1,660
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.