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 $64.57 Median $117.49 Typical High $218.78 | Facility | None | $64.57 | $117.49 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $501.19 | Professional | None | $64.57 | $64.57 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $288.40 | Facility | None | $125.89 | $154.88 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $234.42 | Professional | None | $64.57 | $79.43 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $53.70 Typical High $177.83 | Professional | UE · Used equipment | $47.86 | $53.70 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $131.83 | Facility | None | $66.07 | $100.00 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $177.83 | Professional | None | $87.10 | $120.23 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Facility | None | $104.71 | $104.71 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $151.36 | Professional | None | $83.18 | $112.20 | $151.36 |
SummaCare Setting Professional Modifier None Typical Low $134.90 Median $138.04 Typical High $213.80 | Professional | None | $134.90 | $138.04 | $213.80 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $190.55 | Facility | None | $134.90 | $134.90 | $190.55 |
United Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $95.50 | Professional | None | $43.65 | $66.07 | $95.50 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | RR · Rental | $23.44 | $23.44 | $23.44 |
Where Ohio sits
The same service costs 2.0 times more in Montana 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· 41st of 51
$89.13
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.