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 $1,288.25 Median $1,288.25 Typical High $3,235.94 | Facility | None | $1,288.25 | $1,288.25 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,288.25 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.07 | Facility | None | $0.02 | $0.03 | $0.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,445.44 | $1,995.26 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,168.69 | Facility | None | $3,090.30 | $3,090.30 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,445.44 | $1,621.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,168.69 | Facility | None | $3,090.30 | $3,090.30 | $4,168.69 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,445.44 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,778.28 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,380.38 | $2,041.74 |
4 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 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $1,230.27 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $501.19 | Professional | 53 · Discontinued | $257.04 | $257.04 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $371.54 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $245.47 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $245.47 |
Where Ohio sits
The same service costs 3.0 times more in Arizona than in Montana. 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· 21st of 51
$1,445
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.