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 $13.80 Median $13.80 Typical High $63.10 | Facility | None | $13.80 | $13.80 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $48.98 | Professional | None | $13.80 | $13.80 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $20.42 Typical High $31.62 | Facility | None | $17.78 | $20.42 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $19.05 | Professional | None | $14.13 | $14.13 | $19.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $10.72 Typical High $12.30 | Professional | UE · Used equipment | $10.72 | $10.72 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | None | $16.98 | $16.98 | $18.20 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $31.62 | Professional | None | $19.05 | $23.99 | $31.62 |
SummaCare Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $50.12 | Professional | None | $21.38 | $26.30 | $50.12 |
United Setting Professional Modifier None Typical Low $7.24 Median $19.95 Typical High $35.48 | Professional | None | $7.24 | $19.95 | $35.48 |
2 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 $2.09 Median $2.09 Typical High $7.41 | Professional | 55 · Aftercare only | $2.09 | $2.09 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $4.90 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $4.90 |
Where Ohio sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 49th of 51
$14.13
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.