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 $3.55 Median $3.55 Typical High $20.89 | Facility | None | $3.55 | $3.55 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $16.98 | Professional | None | $3.55 | $3.55 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $8.51 | Professional | None | $2.82 | $3.09 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.09 Median $2.82 Typical High $3.09 | Professional | UE · Used equipment | $2.09 | $2.82 | $3.09 |
CareSource Setting Facility Modifier None Typical Low $2.82 Median $4.17 Typical High $5.62 | Facility | None | $2.82 | $4.17 | $5.62 |
CareSource Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $7.59 | Professional | None | $3.63 | $5.01 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.98 | Professional | None | $3.39 | $3.39 | $3.98 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.98 | Professional | None | $3.39 | $3.39 | $3.98 |
Molina Setting Professional Modifier None Typical Low $1.05 Median $1.45 Typical High $1.95 | Professional | None | $1.05 | $1.45 | $1.95 |
SummaCare Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $8.91 | Professional | None | $5.75 | $5.75 | $8.91 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.82 Typical High $4.07 | Professional | None | $1.86 | $2.82 | $4.07 |
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 $0.52 Median $0.52 Typical High $2.51 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.36 Typical High $1.70 | Professional | 56 · Pre-op care only | $0.36 | $0.36 | $1.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.28 Typical High $0.30 | Professional | RR · Rental | $0.28 | $0.28 | $0.30 |
Where Ohio sits
The same service costs 2.2 times more in Minnesota 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· 37th of 51
$3.39
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.