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 $8.71 Median $8.71 Typical High $25.12 | Facility | None | $8.71 | $8.71 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $19.95 | Professional | None | $8.71 | $8.71 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $19.95 | Professional | None | $6.17 | $7.41 | $19.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $6.76 Typical High $7.41 | Professional | UE · Used equipment | $5.13 | $6.76 | $7.41 |
Aultcare Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $10.23 Typical High $13.80 | Facility | None | $6.92 | $10.23 | $13.80 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $18.62 | Professional | None | $8.91 | $12.30 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | None | $7.08 | $7.08 | $8.32 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | None | $7.08 | $7.08 | $8.32 |
Molina Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $11.48 | Professional | None | $6.17 | $8.51 | $11.48 |
SummaCare Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $22.39 | Professional | None | $14.13 | $14.13 | $22.39 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $10.00 | Professional | None | $4.47 | $6.61 | $10.00 |
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 $1.32 Median $1.32 Typical High $3.02 | Professional | 55 · Aftercare only | $1.32 | $1.32 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.87 Typical High $2.00 | Professional | 56 · Pre-op care only | $0.87 | $0.87 | $2.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.69 Median $0.69 Typical High $0.76 | Professional | RR · Rental | $0.69 | $0.69 | $0.76 |
Where Ohio sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 37th of 51
$7.94
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.