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 $1,023.29 Median $1,023.29 Typical High $8,317.64 | Facility | None | $1,023.29 | $1,023.29 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $5,754.40 | Professional | None | $1,023.29 | $1,023.29 | $5,754.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $4,570.88 | Facility | None | $1,995.26 | $2,454.71 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,691.53 | Professional | None | $1,047.13 | $1,288.25 | $2,691.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $870.96 Typical High $1,288.25 | Professional | UE · Used equipment | $776.25 | $870.96 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,089.30 | Facility | None | $1,047.13 | $1,584.89 | $2,089.30 |
CareSource Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,905.46 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,778.28 | $2,398.83 |
SummaCare Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,388.44 | Professional | None | $2,137.96 | $2,137.96 | $3,388.44 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,019.95 | Facility | None | $2,137.96 | $2,137.96 | $3,019.95 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,513.56 | Professional | None | $616.60 | $1,047.13 | $1,513.56 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
Where Ohio sits
The same service costs 2.3 times more in Montana than in Delaware. 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· 38th of 51
$1,148
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.