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 $1,548.82 Median $7,079.46 Typical High $12,589.25 | Facility | None | $1,548.82 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,548.82 Typical High $5,754.40 | Professional | None | $154.88 | $1,548.82 | $5,754.40 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $2,398.83 Typical High $9,772.37 | Facility | None | $912.01 | $2,398.83 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $1,122.02 Typical High $2,754.23 | Professional | None | $162.18 | $1,122.02 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $794.33 Typical High $4,168.69 | Professional | 50 · Both sides | $245.47 | $794.33 | $4,168.69 |
CareSource Setting Facility Modifier None Typical Low $194.98 Median $2,951.21 Typical High $3,890.45 | Facility | None | $194.98 | $2,951.21 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,311.31 Typical High $6,025.60 | Facility | None | $549.54 | $3,311.31 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $512.86 Typical High $3,090.30 | Professional | None | $158.49 | $512.86 | $3,090.30 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $3,311.31 Typical High $6,025.60 | Facility | None | $549.54 | $3,311.31 | $6,025.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $158.49 Median $602.56 Typical High $3,162.28 | Professional | None | $158.49 | $602.56 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,412.54 | $1,905.46 | $2,570.40 |
SummaCare Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $1,905.46 | Facility | None | $1,584.89 | $1,659.59 | $1,905.46 |
SummaCare Setting Professional Modifier None Typical Low $138.04 Median $1,513.56 Typical High $2,089.30 | Professional | None | $138.04 | $1,513.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $7,413.10 | Facility | None | $707.95 | $1,905.46 | $7,413.10 |
United Setting Professional Modifier None Typical Low $162.18 Median $1,479.11 Typical High $3,311.31 | Professional | None | $162.18 | $1,479.11 | $3,311.31 |
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 $117.49 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $117.49 | $1,148.15 | $1,288.25 |
Where Ohio sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 30th of 51
$1,698
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.