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 $16.22 Median $16.22 Typical High $64.57 | Facility | None | $16.22 | $16.22 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $50.12 | Professional | None | $16.22 | $16.22 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $33.11 | Professional | None | $11.48 | $12.88 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $9.55 Typical High $14.13 | Professional | UE · Used equipment | $8.13 | $9.55 | $14.13 |
Aultcare Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $19.05 Typical High $25.70 | Facility | None | $12.88 | $19.05 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $34.67 | Professional | None | $16.60 | $22.91 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $26.30 | Professional | None | $14.13 | $19.05 | $26.30 |
SummaCare Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $41.69 | Professional | None | $26.30 | $26.30 | $41.69 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.30 Typical High $18.62 | Professional | None | $8.32 | $12.30 | $18.62 |
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 $2.45 Median $2.45 Typical High $7.59 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $5.01 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $5.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.10 Typical High $1.17 | Professional | RR · Rental | $1.10 | $1.10 | $1.17 |
Where Ohio sits
The same service costs 3.5 times more in Hawaii 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· 38th of 51
$13.18
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.