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 $23.44 Median $23.44 Typical High $93.33 | Facility | None | $23.44 | $23.44 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $72.44 | Professional | None | $23.44 | $23.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $47.86 | Professional | None | $16.60 | $16.60 | $47.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $18.62 | Professional | UE · Used equipment | $12.59 | $12.59 | $18.62 |
Aultcare Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $27.54 Typical High $37.15 | Facility | None | $18.62 | $27.54 | $37.15 |
CareSource Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $50.12 | Professional | None | $23.99 | $33.11 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $23.44 | Facility | None | $18.20 | $21.88 | $23.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $21.88 | Professional | None | $11.75 | $16.22 | $21.88 |
SummaCare Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $58.88 | Professional | None | $38.02 | $38.02 | $58.88 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $26.92 | Professional | None | $10.96 | $17.78 | $26.92 |
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 $3.55 Median $3.55 Typical High $10.96 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $7.24 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $7.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $1.78 | Professional | RR · Rental | $1.66 | $1.66 | $1.78 |
Where Ohio sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 40th of 51
$18.62
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.