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 $354.81 Median $8,128.31 Typical High $13,803.84 | Facility | None | $354.81 | $8,128.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $1,148.15 | Professional | None | $218.78 | $295.12 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $4,570.88 | Facility | None | $524.81 | $1,174.90 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $281.84 | Professional | None | $114.82 | $138.04 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $275.42 | Facility | None | $173.78 | $229.09 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $2,398.83 | Facility | None | $173.78 | $302.00 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $501.19 | Professional | None | $223.87 | $316.23 | $501.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $2,398.83 | Facility | None | $173.78 | $295.12 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $489.78 | Professional | None | $223.87 | $316.23 | $489.78 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $190.55 Typical High $323.59 | Professional | None | $33.88 | $190.55 | $323.59 |
SummaCare Setting Facility Modifier None Typical Low $93.33 Median $97.72 Typical High $112.20 | Facility | None | $93.33 | $97.72 | $112.20 |
SummaCare Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $354.81 | Professional | None | $208.93 | $269.15 | $354.81 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $7,244.36 | Facility | None | $707.95 | $1,905.46 | $7,244.36 |
United Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $501.19 | Professional | None | $165.96 | $275.42 | $501.19 |
3 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 78 · Unplanned return to OR Typical Low $151.36 Median $208.93 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $151.36 | $208.93 | $223.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $204.17 Typical High $416.87 | Professional | 50 · Both sides | $173.78 | $204.17 | $416.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $72.44 Median $85.11 Typical High $177.83 | Professional | 62 · Two surgeons | $72.44 | $85.11 | $177.83 |
Where Ohio sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 48th of 51
$224
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.