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 $323.59 Median $4,265.80 Typical High $10,964.78 | Facility | None | $323.59 | $4,265.80 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $1,548.82 Typical High $6,606.93 | Professional | None | $177.83 | $1,548.82 | $6,606.93 |
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 $194.98 Median $1,148.15 Typical High $4,786.30 | Professional | None | $194.98 | $1,148.15 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $912.01 Typical High $7,244.36 | Professional | 50 · Both sides | $295.12 | $912.01 | $7,244.36 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $1,380.38 Typical High $1,819.70 | Facility | None | $218.78 | $1,380.38 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,659.59 Typical High $6,025.60 | Facility | None | $549.54 | $1,659.59 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $588.84 Typical High $3,548.13 | Professional | None | $181.97 | $588.84 | $3,548.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $1,659.59 Typical High $6,025.60 | Facility | None | $602.56 | $1,659.59 | $6,025.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $181.97 Median $1,479.11 Typical High $3,630.78 | Professional | None | $181.97 | $1,479.11 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,949.84 | $2,630.27 |
SummaCare Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $912.01 | Facility | None | $776.25 | $812.83 | $912.01 |
SummaCare Setting Professional Modifier None Typical Low $154.88 Median $1,548.82 Typical High $2,041.74 | Professional | None | $154.88 | $1,548.82 | $2,041.74 |
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 $186.21 Median $1,584.89 Typical High $4,073.80 | Professional | None | $186.21 | $1,584.89 | $4,073.80 |
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 $131.83 Median $1,174.90 Typical High $1,348.96 | Professional | 54 · Surgery only | $131.83 | $1,174.90 | $1,348.96 |
Where Ohio sits
The same service costs 10.5 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· 28th 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.