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 $13,489.63 | Facility | None | $1,023.29 | $1,023.29 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $9,332.54 | Professional | None | $1,023.29 | $1,023.29 | $9,332.54 |
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 $1,621.81 Median $1,949.84 Typical High $2,818.38 | Professional | None | $1,621.81 | $1,949.84 | $2,818.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $1,318.26 Typical High $1,905.46 | Professional | UE · Used equipment | $1,202.26 | $1,318.26 | $1,905.46 |
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 $1,862.09 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,862.09 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,238.72 | $3,019.95 |
SummaCare Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $3,715.35 | Professional | None | $2,137.96 | $2,238.72 | $3,715.35 |
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 $691.83 Median $1,445.44 Typical High $2,137.96 | Professional | None | $691.83 | $1,445.44 | $2,137.96 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $257.04 | $257.04 | $257.04 |
Where Ohio sits
The same service costs 1.9 times more in Hawaii than in New Jersey. 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
$1,660
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.