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 $501.19 Median $501.19 Typical High $1,698.24 | Facility | None | $501.19 | $501.19 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,174.90 | Professional | None | $501.19 | $501.19 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $2,238.72 | Facility | None | $977.24 | $1,202.26 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $1,380.38 | Professional | None | $436.52 | $512.86 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $575.44 | Professional | UE · Used equipment | $380.19 | $380.19 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $831.76 | Facility | None | $416.87 | $630.96 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,122.02 | Professional | None | $549.54 | $758.58 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | None | $436.52 | $436.52 | $512.86 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | None | $436.52 | $436.52 | $512.86 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,122.02 | Professional | None | $602.56 | $831.76 | $1,122.02 |
SummaCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,047.13 | $1,659.59 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,348.96 | Facility | None | $954.99 | $954.99 | $1,348.96 |
United Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $741.31 | Professional | None | $338.84 | $512.86 | $741.31 |
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 $66.07 Median $66.07 Typical High $69.18 | Professional | RR · Rental | $66.07 | $66.07 | $69.18 |
Where Ohio sits
The same service costs 3.0 times more in Wisconsin 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· 34th of 51
$513
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.