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 $24.55 Median $24.55 Typical High $190.55 | Facility | None | $24.55 | $24.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $131.83 | Professional | None | $24.55 | $24.55 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $109.65 | Facility | None | $47.86 | $60.26 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $89.13 | Professional | None | $24.55 | $30.90 | $89.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $21.38 Typical High $67.61 | Professional | UE · Used equipment | $18.62 | $21.38 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $51.29 | Facility | None | $25.70 | $38.02 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $69.18 | Professional | None | $33.11 | $45.71 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $58.88 | Professional | None | $31.62 | $43.65 | $58.88 |
SummaCare Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $81.28 | Professional | None | $51.29 | $52.48 | $81.28 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $74.13 | Facility | None | $52.48 | $52.48 | $74.13 |
United Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $36.31 | Professional | None | $16.98 | $25.12 | $36.31 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | RR · Rental | $8.91 | $8.91 | $8.91 |
Where Ohio sits
The same service costs 2.2 times more in Minnesota than in Kentucky. 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· 29th of 51
$33.88
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.