How much rates vary
Facilitymedian $389 · 10th to 90th $89 to $3,715Professionalmedian $126 · 10th to 90th $85 to $204
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 $173.78 Median $436.52 Typical High $10,715.19 | Facility | None | $173.78 | $436.52 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $275.42 | Professional | None | $85.11 | $104.71 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $79.43 Median $95.50 Typical High $154.88 | Professional | None | $79.43 | $95.50 | $154.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $141.25 Typical High $218.78 | Professional | 50 · Both sides | $114.82 | $141.25 | $218.78 |
Aultcare Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $123.03 | Facility | None | $79.43 | $102.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $100.00 Typical High $181.97 | Facility | None | $58.88 | $100.00 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $218.78 | Professional | None | $100.00 | $131.83 | $218.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $58.88 Median $102.33 Typical High $223.87 | Facility | None | $58.88 | $102.33 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $218.78 | Professional | None | $100.00 | $131.83 | $218.78 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $204.17 | Professional | None | $102.33 | $134.90 | $204.17 |
SummaCare Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $58.88 | Facility | None | $48.98 | $51.29 | $58.88 |
SummaCare Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $173.78 | Professional | None | $93.33 | $120.23 | $173.78 |
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 $74.13 Median $117.49 Typical High $204.17 | Professional | None | $74.13 | $117.49 | $204.17 |
4 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 $47.86 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $19.05 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.50 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.18 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.55 | $13.18 | $13.80 |
Where Ohio sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$126
AK $398FL $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.