How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,148 to $3,311Professionalmedian $912 · 10th to 90th $741 to $1,905
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 $954.99 Median $954.99 Typical High $3,548.13 | Facility | None | $954.99 | $954.99 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $3,311.31 | Professional | None | $954.99 | $954.99 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $3,890.45 | Facility | None | $1,698.24 | $2,089.30 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $2,290.87 | Professional | None | $831.76 | $912.01 | $2,290.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $676.08 Typical High $933.25 | Professional | UE · Used equipment | $645.65 | $676.08 | $933.25 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,412.54 | Professional | None | $758.58 | $1,047.13 | $1,412.54 |
SummaCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,819.70 | $1,862.09 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,041.74 | Facility | None | $1,000.00 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,288.25 | Professional | None | $575.44 | $851.14 | $1,288.25 |
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 $478.63 Median $478.63 Typical High $1,659.59 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $660.69 | Professional | 53 · Discontinued | $190.55 | $190.55 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $489.78 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $331.13 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | RR · Rental | $91.20 | $91.20 | $117.49 |
Where Ohio sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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
$912
HI $3,236WV $832
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.