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 $23.99 Median $23.99 Typical High $91.20 | Facility | None | $23.99 | $23.99 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $72.44 | Professional | None | $23.99 | $23.99 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $48.98 | Professional | None | $17.38 | $17.38 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $19.50 | Professional | UE · Used equipment | $12.88 | $12.88 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $28.84 Typical High $38.02 | Facility | None | $19.05 | $28.84 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $51.29 | Professional | None | $24.55 | $34.67 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $28.18 | Facility | None | $22.39 | $26.92 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $28.18 | Facility | None | $22.39 | $26.92 | $28.18 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | None | $22.91 | $22.91 | $23.44 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $35.48 | Professional | None | $19.05 | $26.30 | $35.48 |
SummaCare Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | None | $38.90 | $38.90 | $60.26 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $27.54 | Professional | None | $12.59 | $18.62 | $27.54 |
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 $3.63 Median $3.63 Typical High $10.72 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $7.24 | Professional | 56 · Pre-op care only | $2.40 | $2.40 | $7.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $1.86 | Professional | RR · Rental | $1.74 | $1.74 | $1.86 |
Where Ohio sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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
$21.38
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.