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 $3,630.78 Median $3,630.78 Typical High $13,182.57 | Facility | None | $3,630.78 | $3,630.78 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $9,120.11 | Professional | None | $3,630.78 | $3,630.78 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,715.35 Typical High $10,000.00 | Professional | None | $3,162.28 | $3,715.35 | $10,000.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $4,168.69 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $4,168.69 |
CareSource Setting Facility Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $7,244.36 | Facility | None | $3,630.78 | $5,370.32 | $7,244.36 |
CareSource Setting Professional Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $9,772.37 | Professional | None | $4,677.35 | $6,456.54 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $8,709.64 | Professional | None | $4,677.35 | $6,456.54 | $8,709.64 |
SummaCare Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $12,022.64 | Professional | None | $7,585.78 | $7,585.78 | $12,022.64 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $5,370.32 | Professional | None | $2,454.71 | $3,715.35 | $5,370.32 |
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 $512.86 Median $512.86 Typical High $602.56 | Professional | RR · Rental | $512.86 | $512.86 | $602.56 |
Where Ohio sits
The same service costs 2.7 times more in Montana than in New York. 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
$3,715
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.