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 $40.74 Median $40.74 Typical High $120.23 | Facility | None | $40.74 | $40.74 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $95.50 | Professional | None | $40.74 | $40.74 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $81.28 | Professional | None | $26.92 | $28.84 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $21.38 Typical High $31.62 | Professional | UE · Used equipment | $20.42 | $21.38 | $31.62 |
Aultcare Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $47.86 Typical High $63.10 | Facility | None | $31.62 | $47.86 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $85.11 | Professional | None | $41.69 | $57.54 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $44.67 | Professional | None | $23.99 | $33.11 | $44.67 |
SummaCare Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $102.33 | Professional | None | $64.57 | $66.07 | $102.33 |
United Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $45.71 | Professional | None | $18.62 | $30.20 | $45.71 |
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 $6.03 Median $6.03 Typical High $14.13 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $9.55 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.95 | Professional | RR · Rental | $2.69 | $2.69 | $2.95 |
Where Ohio sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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
$32.36
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.