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 $4.79 Median $4.79 Typical High $10.00 | Facility | None | $4.79 | $4.79 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $10.00 | Professional | None | $4.79 | $4.79 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $11.22 | Professional | None | $2.95 | $3.72 | $11.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $3.39 Typical High $3.72 | Professional | UE · Used equipment | $2.57 | $3.39 | $3.72 |
Aultcare Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $3.80 Median $5.75 Typical High $7.59 | Facility | None | $3.80 | $5.75 | $7.59 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $12.30 | Professional | None | $6.92 | $10.23 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | None | $4.57 | $4.57 | $5.37 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | None | $4.57 | $4.57 | $5.37 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $9.55 | Professional | None | $5.13 | $7.08 | $9.55 |
SummaCare Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $10.96 | Professional | None | $5.50 | $7.76 | $10.96 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $5.50 | Professional | None | $2.51 | $3.80 | $5.50 |
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 $0.72 Median $0.72 Typical High $1.51 | Professional | 55 · Aftercare only | $0.72 | $0.72 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.48 Median $0.48 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.48 | $0.48 | $1.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.34 Median $0.34 Typical High $0.37 | Professional | RR · Rental | $0.34 | $0.34 | $0.37 |
Where Ohio sits
The same service costs 4.2 times more in Hawaii 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· 43rd of 51
$4.57
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.