How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,698 to $4,898Professionalmedian $1,288 · 10th to 90th $1,047 to $2,570
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 $5,754.40 | Facility | None | $1,288.25 | $1,288.25 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $5,370.32 | Professional | None | $1,288.25 | $1,288.25 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $5,248.07 | Facility | None | $2,290.87 | $2,818.38 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $3,090.30 | Professional | None | $1,174.90 | $1,380.38 | $3,090.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $1,000.00 Typical High $1,288.25 | Professional | UE · Used equipment | $870.96 | $1,000.00 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,630.27 | Facility | None | $1,318.26 | $1,949.84 | $2,630.27 |
CareSource Setting Professional Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,344.23 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,412.54 | $1,905.46 |
SummaCare Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,890.45 | Professional | None | $2,454.71 | $2,511.89 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,513.56 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,737.80 | Professional | None | $794.33 | $1,148.15 | $1,737.80 |
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 $645.65 Median $645.65 Typical High $2,691.53 | Professional | 52 · Reduced service | $645.65 | $645.65 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $1,071.52 | Professional | 53 · Discontinued | $257.04 | $257.04 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $812.83 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $537.03 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $537.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | RR · Rental | $138.04 | $138.04 | $151.36 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 38th of 51
$1,288
HI $3,388AZ $1,230
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.