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 $58.88 Median $173.78 Typical High $208.93 | Facility | None | $58.88 | $173.78 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $371.54 | Professional | None | $58.88 | $58.88 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $104.71 | Professional | None | $51.29 | $70.79 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $128.82 | Professional | None | $56.23 | $77.62 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $128.82 | Professional | None | $57.54 | $79.43 | $128.82 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $48.98 | Professional | None | $33.11 | $40.74 | $48.98 |
SummaCare Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $83.18 | Professional | None | $48.98 | $57.54 | $83.18 |
United Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $2,398.83 | Facility | None | $97.72 | $257.04 | $2,398.83 |
United Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $144.54 | Professional | None | $58.88 | $77.62 | $144.54 |
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 $43.65 Median $43.65 Typical High $275.42 | Professional | 54 · Surgery only | $43.65 | $43.65 | $275.42 |
Where Ohio sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 43rd of 51
$70.79
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.