How much rates vary
Facilitymedian $794 · 10th to 90th $380 to $1,318Professionalmedian $363 · 10th to 90th $275 to $759
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 $398.11 Median $398.11 Typical High $1,258.93 | Facility | None | $398.11 | $398.11 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,174.90 | Professional | None | $398.11 | $398.11 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,621.81 | Facility | None | $707.95 | $870.96 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $812.83 | Professional | None | $354.81 | $363.08 | $812.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $269.15 Typical High $363.08 | Professional | UE · Used equipment | $263.03 | $269.15 | $363.08 |
Aultcare Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $575.44 | Facility | None | $288.40 | $436.52 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $794.33 | Professional | None | $380.19 | $524.81 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $588.84 | Professional | None | $316.23 | $436.52 | $588.84 |
SummaCare Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,202.26 | Professional | None | $758.58 | $776.25 | $1,202.26 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $794.33 | Facility | None | $389.05 | $467.74 | $794.33 |
United Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $537.03 | Professional | None | $223.87 | $346.74 | $537.03 |
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 $199.53 Median $199.53 Typical High $588.84 | Professional | 52 · Reduced service | $199.53 | $199.53 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $234.42 | Professional | 53 · Discontinued | $79.43 | $79.43 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $173.78 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $117.49 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | RR · Rental | $35.48 | $35.48 | $46.77 |
Where Ohio sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 29th of 51
$363
HI $1,023FL $275
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.