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 $10.00 Median $10.00 Typical High $60.26 | Facility | None | $10.00 | $10.00 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $45.71 | Professional | None | $10.00 | $10.00 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $24.55 Typical High $67.61 | Facility | None | $11.48 | $24.55 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $19.05 | Professional | None | $10.23 | $10.23 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Facility | None | $22.91 | $22.91 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | None | $10.72 | $10.72 | $12.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Facility | None | $22.91 | $22.91 | $30.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $18.20 | Professional | None | $10.72 | $10.72 | $18.20 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $14.79 | Professional | None | $11.22 | $12.88 | $14.79 |
SummaCare Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $22.39 | Professional | None | $11.22 | $12.30 | $22.39 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $15.49 | Professional | None | $10.47 | $10.47 | $15.49 |
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 $1.51 Median $1.51 Typical High $6.92 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $4.57 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $4.57 |
Where Ohio sits
The same service costs 1.7 times more in Arizona than in New York. 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· 31st of 51
$10.72
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.