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 $15.85 Median $15.85 Typical High $54.95 | Facility | None | $15.85 | $15.85 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $42.66 | Professional | None | $15.85 | $15.85 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $32.36 | Professional | None | $10.72 | $11.22 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.32 Typical High $12.59 | Professional | UE · Used equipment | $8.13 | $8.32 | $12.59 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $18.62 Typical High $24.55 | Facility | None | $12.30 | $18.62 | $24.55 |
CareSource Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $33.11 | Professional | None | $16.22 | $22.39 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $14.79 | Professional | None | $7.94 | $10.96 | $14.79 |
SummaCare Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $40.74 | Professional | None | $25.70 | $26.30 | $40.74 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $18.20 | Professional | None | $7.41 | $12.02 | $18.20 |
3 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 55 · Aftercare only Typical Low $2.40 Median $2.40 Typical High $6.46 | Professional | 55 · Aftercare only | $2.40 | $2.40 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $4.27 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $4.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.07 Typical High $1.15 | Professional | RR · Rental | $1.07 | $1.07 | $1.15 |
Where Ohio sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 45th of 51
$12.59
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.