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 $22.91 Median $22.91 Typical High $100.00 | Facility | None | $22.91 | $22.91 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $70.79 | Professional | None | $22.91 | $22.91 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $56.23 Typical High $102.33 | Facility | None | $45.71 | $56.23 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $81.28 Typical High $114.82 | Professional | None | $28.84 | $81.28 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $3.09 | Professional | RR · Rental | $2.88 | $2.88 | $3.09 |
Aultcare Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $35.48 Typical High $47.86 | Facility | None | $23.99 | $35.48 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $64.57 | Professional | None | $30.90 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $57.54 | Professional | None | $30.90 | $42.66 | $57.54 |
SummaCare Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $75.86 | Professional | None | $47.86 | $48.98 | $75.86 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $69.18 | Facility | None | $48.98 | $48.98 | $69.18 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $38.02 | Professional | None | $15.85 | $23.44 | $38.02 |
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 $21.38 Median $21.38 Typical High $23.44 | Professional | UE · Used equipment | $21.38 | $21.38 | $23.44 |
Where Ohio sits
The same service costs 2.2 times more in Montana than in Vermont. 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· 10th of 51
$42.66
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.