How much rates vary
Facilitymedian $1,479 · 10th to 90th $851 to $2,455Professionalmedian $741 · 10th to 90th $631 to $1,413
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 $741.31 Median $741.31 Typical High $2,511.89 | Facility | None | $741.31 | $741.31 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $2,344.23 | Professional | None | $741.31 | $741.31 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,318.26 | $1,621.81 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,548.82 | Professional | None | $691.83 | $812.83 | $1,548.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $562.34 Typical High $758.58 | Professional | UE · Used equipment | $512.86 | $562.34 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,584.89 | Facility | None | $794.33 | $1,202.26 | $1,584.89 |
CareSource Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,412.54 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,071.52 | Professional | None | $588.84 | $794.33 | $1,071.52 |
SummaCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,412.54 | $2,187.76 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,862.09 | Facility | None | $912.01 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,000.00 | Professional | None | $457.09 | $691.83 | $1,000.00 |
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 $371.54 Median $371.54 Typical High $1,174.90 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $467.74 | Professional | 53 · Discontinued | $147.91 | $147.91 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $354.81 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $234.42 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $234.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | RR · Rental | $81.28 | $81.28 | $83.18 |
Where Ohio sits
The same service costs 5.1 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· 38th of 51
$794
HI $3,236DE $631
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.