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 $229.09 Median $2,344.23 Typical High $10,964.78 | Facility | None | $229.09 | $2,344.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $616.60 Typical High $2,630.27 | Professional | None | $81.28 | $616.60 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $4,570.88 | Facility | None | $512.86 | $1,023.29 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $467.74 Typical High $851.14 | Professional | None | $77.62 | $467.74 | $851.14 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $1,412.54 Typical High $1,819.70 | Facility | None | $100.00 | $1,412.54 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $1,548.82 Typical High $2,570.40 | Facility | None | $58.88 | $1,548.82 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $575.44 Typical High $1,148.15 | Professional | None | $81.28 | $575.44 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $58.88 Median $1,548.82 Typical High $2,398.83 | Facility | None | $58.88 | $1,548.82 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $81.28 Median $602.56 Typical High $1,122.02 | Professional | None | $81.28 | $602.56 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,096.48 | Professional | None | $616.60 | $812.83 | $1,096.48 |
SummaCare Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $977.24 | Facility | None | $831.76 | $870.96 | $977.24 |
SummaCare Setting Professional Modifier None Typical Low $74.13 Median $630.96 Typical High $831.76 | Professional | None | $74.13 | $630.96 | $831.76 |
United Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,388.44 | Facility | None | $363.08 | $691.83 | $3,388.44 |
United Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $1,202.26 | Professional | None | $85.11 | $575.44 | $1,202.26 |
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 $61.66 Median $457.09 Typical High $489.78 | Professional | 54 · Surgery only | $61.66 | $457.09 | $489.78 |
Where Ohio sits
The same service costs 7.8 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· 29th of 51
$646
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.