How much rates vary
Facilitymedian $513 · 10th to 90th $98 to $3,715Professionalmedian $129 · 10th to 90th $59 to $240
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 $120.23 Median $426.58 Typical High $10,232.93 | Facility | None | $120.23 | $426.58 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $302.00 | Professional | None | $69.18 | $138.04 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $165.96 | Professional | None | $72.44 | $89.13 | $165.96 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $134.90 Typical High $245.47 | Professional | 50 · Both sides | $107.15 | $134.90 | $245.47 |
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 $51.29 Median $64.57 Typical High $114.82 | Professional | None | $51.29 | $64.57 | $114.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $97.72 Typical High $165.96 | Professional | 50 · Both sides | $77.62 | $97.72 | $165.96 |
Aultcare Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $1,621.81 Typical High $2,398.83 | Facility | None | $102.33 | $1,621.81 | $2,398.83 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $234.42 | Professional | None | $151.36 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $707.95 | Facility | None | $50.12 | $66.07 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $257.04 | Professional | None | $83.18 | $158.49 | $257.04 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $50.12 Median $457.09 Typical High $1,819.70 | Facility | None | $50.12 | $457.09 | $1,819.70 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $251.19 | Professional | None | $83.18 | $151.36 | $251.19 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $257.04 | Professional | None | $128.82 | $169.82 | $257.04 |
SummaCare Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $204.17 | Professional | None | $75.86 | $141.25 | $204.17 |
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 $56.23 Median $117.49 Typical High $269.15 | Professional | None | $56.23 | $117.49 | $269.15 |
5 more rates 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 52 · Reduced service Typical Low $39.81 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $39.81 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $15.85 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $114.82 Typical High $123.03 | Professional | 54 · Surgery only | $60.26 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $22.91 Typical High $24.55 | Professional | 55 · Aftercare only | $12.02 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $15.49 Typical High $16.60 | Professional | 56 · Pre-op care only | $7.94 | $15.49 | $16.60 |
Where Ohio sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 44th of 51
$135
AK $417VA $107
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.