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 $794.33 | Facility | None | $204.17 | $204.17 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $549.54 | Professional | None | $204.17 | $204.17 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $912.01 | Facility | None | $407.38 | $501.19 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $549.54 | Professional | None | $229.09 | $257.04 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | RR · Rental | $25.70 | $25.70 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $398.11 | Facility | None | $199.53 | $295.12 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $537.03 | Professional | None | $257.04 | $354.81 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $446.68 | Professional | None | $239.88 | $331.13 | $446.68 |
SummaCare Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $676.08 | Professional | None | $426.58 | $436.52 | $676.08 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $616.60 | Facility | None | $436.52 | $436.52 | $616.60 |
United Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $338.84 | Professional | None | $141.25 | $208.93 | $338.84 |
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 UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | UE · Used equipment | $194.98 | $194.98 | $208.93 |
Where Ohio sits
The same service costs 2.5 times more in Hawaii 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· 37th 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.