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 $13.18 Median $13.18 Typical High $64.57 | Facility | None | $13.18 | $13.18 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $48.98 | Professional | None | $13.18 | $13.18 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $31.62 Typical High $89.13 | Facility | None | $14.79 | $31.62 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $20.89 | Professional | None | $10.96 | $13.49 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $6.61 | Professional | None | $4.37 | $5.62 | $6.61 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $20.42 | Professional | None | $13.49 | $13.49 | $20.42 |
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 $6.61 Median $6.61 Typical High $24.55 | Professional | 52 · Reduced service | $6.61 | $6.61 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $9.77 | Professional | 53 · Discontinued | $2.63 | $2.63 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $7.41 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $4.90 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $4.90 |
Where Ohio sits
The same service costs 9.1 times more in Alabama than in Hawaii. 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· 33rd of 51
$13.80
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.