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 $295.12 Median $2,630.27 Typical High $12,022.64 | Facility | None | $295.12 | $2,630.27 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $707.95 Typical High $2,511.89 | Professional | None | $162.18 | $707.95 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,023.29 Typical High $4,570.88 | Facility | None | $524.81 | $1,023.29 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $537.03 Typical High $1,122.02 | Professional | None | $162.18 | $537.03 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $794.33 Typical High $1,659.59 | Professional | 50 · Both sides | $239.88 | $794.33 | $1,659.59 |
CareSource Setting Facility Modifier None Typical Low $199.53 Median $575.44 Typical High $741.31 | Facility | None | $199.53 | $575.44 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,479.11 | Facility | None | $457.09 | $691.83 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $524.81 Typical High $1,148.15 | Professional | None | $158.49 | $524.81 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,479.11 | Facility | None | $457.09 | $691.83 | $1,479.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $158.49 Median $562.34 Typical High $1,148.15 | Professional | None | $158.49 | $562.34 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,202.26 | Professional | None | $676.08 | $891.25 | $1,202.26 |
SummaCare Setting Facility Modifier None Typical Low $660.69 Median $691.83 Typical High $794.33 | Facility | None | $660.69 | $691.83 | $794.33 |
SummaCare Setting Professional Modifier None Typical Low $147.91 Median $724.44 Typical High $954.99 | Professional | None | $147.91 | $724.44 | $954.99 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $5,888.44 | Facility | None | $691.83 | $1,445.44 | $5,888.44 |
United Setting Professional Modifier None Typical Low $169.82 Median $616.60 Typical High $1,258.93 | Professional | None | $169.82 | $616.60 | $1,258.93 |
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 $120.23 Median $537.03 Typical High $562.34 | Professional | 54 · Surgery only | $120.23 | $537.03 | $562.34 |
Where Ohio sits
The same service costs 4.0 times more in Wisconsin 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· 35th of 51
$724
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.