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 $9.77 Median $9.77 Typical High $61.66 | Facility | None | $9.77 | $9.77 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $47.86 | Professional | None | $9.77 | $9.77 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $22.39 | Facility | None | $12.30 | $14.45 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $14.13 | Professional | None | $10.47 | $10.47 | $14.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $7.94 Typical High $10.00 | Professional | UE · Used equipment | $7.94 | $7.94 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $14.45 | Professional | None | $13.18 | $14.45 | $14.45 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $23.44 | Professional | None | $14.45 | $17.78 | $23.44 |
SummaCare Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $36.31 | Professional | None | $15.49 | $19.05 | $36.31 |
United Setting Professional Modifier None Typical Low $5.13 Median $14.79 Typical High $26.30 | Professional | None | $5.13 | $14.79 | $26.30 |
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 $1.48 Median $1.48 Typical High $7.24 | Professional | 55 · Aftercare only | $1.48 | $1.48 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $0.98 Typical High $4.79 | Professional | 56 · Pre-op care only | $0.98 | $0.98 | $4.79 |
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· 47th of 51
$10.47
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.