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 $28.84 Median $52.48 Typical High $97.72 | Facility | None | $28.84 | $52.48 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $79.43 | Professional | None | $28.84 | $28.84 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $1,318.26 Typical High $16,595.87 | Facility | None | $426.58 | $1,318.26 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $39.81 | Professional | None | $18.20 | $21.88 | $39.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.88 Median $3.39 Typical High $8.32 | Professional | 80 · Assistant surgeon | $2.88 | $3.39 | $8.32 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $537.03 Typical High $812.83 | Facility | None | $31.62 | $537.03 | $812.83 |
CareSource Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $33.11 | Professional | None | $29.51 | $30.90 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $707.95 | Facility | None | $50.12 | $81.28 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $50.12 | Professional | None | $22.91 | $30.90 | $50.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $50.12 Median $114.82 Typical High $537.03 | Facility | None | $50.12 | $114.82 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $50.12 | Professional | None | $22.91 | $30.90 | $50.12 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $48.98 | Professional | None | $26.30 | $36.31 | $48.98 |
SummaCare Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $54.95 | Professional | None | $28.84 | $30.90 | $54.95 |
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 $23.44 Median $30.20 Typical High $77.62 | Professional | None | $23.44 | $30.20 | $77.62 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $2.40 Median $3.24 Typical High $7.08 | Professional | AS · PA/NP assist | $2.40 | $3.24 | $7.08 |
Where Ohio sits
The same service costs 7.8 times more in Tennessee than in Kentucky. 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· 45th of 51
$33.88
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.