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 $1,174.90 Median $3,715.35 Typical High $12,022.64 | Facility | None | $1,174.90 | $3,715.35 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,238.72 | Professional | None | $645.65 | $645.65 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $2,187.76 Typical High $7,079.46 | Facility | None | $724.44 | $2,187.76 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $912.01 | Professional | None | $489.78 | $575.44 | $912.01 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $3,548.13 Typical High $4,677.35 | Facility | None | $794.33 | $3,548.13 | $4,677.35 |
CareSource Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | None | $676.08 | $676.08 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,630.78 Typical High $6,025.60 | Facility | None | $549.54 | $3,630.78 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $1,148.15 | Professional | None | $616.60 | $660.69 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $3,630.78 Typical High $5,754.40 | Facility | None | $549.54 | $3,630.78 | $5,754.40 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $1,148.15 | Professional | None | $616.60 | $660.69 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $446.68 Typical High $794.33 | Professional | None | $69.18 | $446.68 | $794.33 |
SummaCare Setting Facility Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $4,677.35 | Facility | None | $3,981.07 | $4,168.69 | $4,677.35 |
SummaCare Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | None | $616.60 | $616.60 | $724.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $9,120.11 | Facility | None | $851.14 | $2,630.27 | $9,120.11 |
United Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $1,023.29 | Professional | None | $524.81 | $676.08 | $1,023.29 |
2 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 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $575.44 |
Where Ohio sits
The same service costs 24.0 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· 46th of 51
$575
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.