How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,549 to $4,677Professionalmedian $1,413 · 10th to 90th $1,122 to $2,818
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 $1,412.54 Median $1,412.54 Typical High $4,786.30 | Facility | None | $1,412.54 | $1,412.54 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $4,466.84 | Professional | None | $1,412.54 | $1,412.54 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,090.30 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $3,388.44 | Professional | None | $1,288.25 | $1,479.11 | $3,388.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $1,047.13 Typical High $1,348.96 | Professional | UE · Used equipment | $954.99 | $1,047.13 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,137.96 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,570.40 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,548.82 | $2,089.30 |
SummaCare Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,691.53 | $2,754.23 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,905.46 | Professional | None | $870.96 | $1,258.93 | $1,905.46 |
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 $707.95 Median $707.95 Typical High $2,187.76 | Professional | 52 · Reduced service | $707.95 | $707.95 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $891.25 | Professional | 53 · Discontinued | $281.84 | $281.84 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $660.69 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $446.68 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | RR · Rental | $147.91 | $147.91 | $158.49 |
Where Ohio sits
The same service costs 3.1 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· 39th of 51
$1,413
HI $3,467DE $1,122
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.