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 $43.65 Median $43.65 Typical High $117.49 | Facility | None | $43.65 | $43.65 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $91.20 | Professional | None | $43.65 | $43.65 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $87.10 | Professional | None | $28.84 | $30.90 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $22.91 Typical High $33.11 | Professional | UE · Used equipment | $21.88 | $22.91 | $33.11 |
Aultcare Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $66.07 | Facility | None | $32.36 | $48.98 | $66.07 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $89.13 | Professional | None | $42.66 | $58.88 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $67.61 | Professional | None | $36.31 | $48.98 | $67.61 |
SummaCare Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $109.65 | Professional | None | $69.18 | $70.79 | $109.65 |
United Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $48.98 | Professional | None | $22.39 | $32.36 | $48.98 |
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 $6.46 Median $6.46 Typical High $13.80 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $9.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $3.16 | Professional | RR · Rental | $2.88 | $2.88 | $3.16 |
Where Ohio sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 45th of 51
$34.67
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.