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 $758.58 Median $2,691.53 Typical High $10,964.78 | Facility | None | $758.58 | $2,691.53 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $1,819.70 | Professional | None | $275.42 | $537.03 | $1,819.70 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $776.25 | Professional | None | $177.83 | $177.83 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $794.33 Typical High $3,311.31 | Facility | None | $371.54 | $794.33 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $794.33 | Professional | None | $263.03 | $489.78 | $794.33 |
Aultcare Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $741.31 | Professional | None | $512.86 | $707.95 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $416.87 | Facility | None | $316.23 | $389.05 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $794.33 | Professional | None | $645.65 | $645.65 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $1,479.11 | Facility | None | $380.19 | $489.78 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $501.19 Typical High $1,047.13 | Professional | None | $269.15 | $501.19 | $1,047.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $1,479.11 | Facility | None | $380.19 | $489.78 | $1,479.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $269.15 Median $524.81 Typical High $1,071.52 | Professional | None | $269.15 | $524.81 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,000.00 | Professional | None | $549.54 | $724.44 | $1,000.00 |
SummaCare Setting Facility Modifier None Typical Low $208.93 Median $218.78 Typical High $251.19 | Facility | None | $208.93 | $218.78 | $251.19 |
SummaCare Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $724.44 | Professional | None | $263.03 | $501.19 | $724.44 |
United Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $2,398.83 | Facility | None | $97.72 | $275.42 | $2,398.83 |
United Setting Professional Modifier None Typical Low $269.15 Median $501.19 Typical High $954.99 | Professional | None | $269.15 | $501.19 | $954.99 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $204.17 | $407.38 | $407.38 |
Where Ohio sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 39th of 51
$550
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.