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 $204.17 Median $204.17 Typical High $1,023.29 | Facility | None | $204.17 | $204.17 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $707.95 | Professional | None | $204.17 | $204.17 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $912.01 | Facility | None | $398.11 | $489.78 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $478.63 | Professional | None | $208.93 | $251.19 | $478.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $173.78 Typical High $223.87 | Professional | UE · Used equipment | $154.88 | $173.78 | $223.87 |
Aultcare Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $416.87 | Facility | None | $208.93 | $309.03 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $562.34 | Professional | None | $269.15 | $371.54 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $478.63 | Professional | None | $257.04 | $354.81 | $478.63 |
SummaCare Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $660.69 | Professional | None | $426.58 | $426.58 | $660.69 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $602.56 | Facility | None | $426.58 | $426.58 | $602.56 |
United Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $302.00 | Professional | None | $138.04 | $208.93 | $302.00 |
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 $25.12 Median $25.12 Typical High $26.92 | Professional | RR · Rental | $25.12 | $25.12 | $26.92 |
Where Ohio sits
The same service costs 2.6 times more in Kansas 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· 32nd of 51
$251
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.