How much rates vary
Facilitymedian $1,820 · 10th to 90th $933 to $3,162Professionalmedian $912 · 10th to 90th $692 to $1,862
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 $912.01 Median $912.01 Typical High $3,019.95 | Facility | None | $912.01 | $912.01 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,754.23 | Professional | None | $912.01 | $912.01 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $3,715.35 | Facility | None | $1,621.81 | $1,995.26 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $2,187.76 | Professional | None | $851.14 | $912.01 | $2,187.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $691.83 Typical High $891.25 | Professional | UE · Used equipment | $630.96 | $691.83 | $891.25 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,698.24 | Facility | None | $851.14 | $1,258.93 | $1,698.24 |
CareSource Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,096.48 | $1,513.56 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Molina Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,445.44 | $1,949.84 |
SummaCare Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,737.80 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,737.80 | $2,454.71 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,230.27 | Professional | None | $562.34 | $812.83 | $1,230.27 |
5 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 $457.09 Median $457.09 Typical High $1,380.38 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $549.54 | Professional | 53 · Discontinued | $181.97 | $181.97 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $416.87 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $275.42 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | RR · Rental | $91.20 | $91.20 | $100.00 |
Where Ohio sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 35th of 51
$912
HI $1,778DE $692
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.