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 $1,258.93 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,258.93 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $3,548.13 | Professional | None | $371.54 | $371.54 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,318.26 Typical High $4,466.84 | Facility | None | $489.78 | $1,318.26 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $537.03 | Professional | None | $257.04 | $309.03 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,089.30 | Facility | None | $446.68 | $1,584.89 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,659.59 Typical High $2,630.27 | Facility | None | $398.11 | $1,659.59 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $724.44 | Professional | None | $323.59 | $389.05 | $724.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $398.11 Median $1,659.59 Typical High $2,570.40 | Facility | None | $398.11 | $1,659.59 | $2,570.40 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $741.31 | Professional | None | $323.59 | $389.05 | $741.31 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $389.05 Typical High $562.34 | Professional | None | $47.86 | $389.05 | $562.34 |
SummaCare Setting Facility Modifier None Typical Low $891.25 Median $933.25 Typical High $1,047.13 | Facility | None | $891.25 | $933.25 | $1,047.13 |
SummaCare Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | None | $338.84 | $338.84 | $512.86 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $6,165.95 | Facility | None | $691.83 | $1,445.44 | $6,165.95 |
United Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $831.76 | Professional | None | $316.23 | $407.38 | $831.76 |
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 $275.42 Median $275.42 Typical High $933.25 | Professional | 54 · Surgery only | $275.42 | $275.42 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $870.96 |
Where Ohio sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 48th of 51
$398
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.