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 $56.23 Median $501.19 Typical High $10,715.19 | Facility | None | $56.23 | $501.19 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $128.82 Typical High $426.58 | Professional | None | $29.51 | $128.82 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | None | $22.91 | $26.30 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,621.81 Typical High $4,073.80 | Facility | None | $776.25 | $1,621.81 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $154.88 Typical High $275.42 | Professional | None | $32.36 | $154.88 | $275.42 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $28.84 Typical High $44.67 | Professional | 80 · Assistant surgeon | $6.31 | $28.84 | $44.67 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $25.12 Typical High $42.66 | Professional | AS · PA/NP assist | $4.47 | $25.12 | $42.66 |
Aultcare Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Facility | None | $21,379.62 | $21,379.62 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $89.13 Typical High $223.87 | Professional | None | $30.90 | $89.13 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $21,379.62 | Facility | None | $275.42 | $275.42 | $21,379.62 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $30.90 Median $91.20 Typical High $218.78 | Professional | None | $30.90 | $91.20 | $218.78 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $218.78 | Professional | None | $112.20 | $158.49 | $218.78 |
SummaCare Setting Professional Modifier None Typical Low $26.92 Median $125.89 Typical High $165.96 | Professional | None | $26.92 | $125.89 | $165.96 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $3,715.35 | Facility | None | $478.63 | $1,122.02 | $3,715.35 |
United Setting Professional Modifier None Typical Low $31.62 Median $134.90 Typical High $257.04 | Professional | None | $31.62 | $134.90 | $257.04 |
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 $22.39 Median $95.50 Typical High $125.89 | Professional | 54 · Surgery only | $22.39 | $95.50 | $125.89 |
Where Ohio sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 29th of 51
$138
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.