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 $6.17 Median $6.17 Typical High $12.59 | Facility | None | $6.17 | $6.17 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $12.02 | Professional | None | $6.17 | $6.17 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.50 | Professional | None | $4.27 | $4.27 | $5.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $4.37 Typical High $13.80 | Professional | None | $3.55 | $4.37 | $13.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.69 Median $3.47 Typical High $4.57 | Professional | UE · Used equipment | $2.69 | $3.47 | $4.57 |
Aultcare Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $7.41 Typical High $9.77 | Facility | None | $4.90 | $7.41 | $9.77 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $15.49 | Professional | None | $8.71 | $13.18 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $6.17 | Facility | None | $5.89 | $5.89 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $6.17 | Facility | None | $5.89 | $5.89 | $6.17 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $8.13 | Professional | None | $4.37 | $6.03 | $8.13 |
SummaCare Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $15.85 | Professional | None | $10.00 | $10.23 | $15.85 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.68 Typical High $7.08 | Professional | None | $2.88 | $4.68 | $7.08 |
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 $0.93 Median $0.93 Typical High $1.82 | Professional | 55 · Aftercare only | $0.93 | $0.93 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.62 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.62 | $0.62 | $1.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.38 Median $0.38 Typical High $0.41 | Professional | RR · Rental | $0.38 | $0.38 | $0.41 |
Where Ohio sits
The same service costs 2.4 times more in Kansas 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· 44th of 51
$5.01
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.