How much rates vary
Facilitymedian $1,514 · 10th to 90th $832 to $2,570Professionalmedian $759 · 10th to 90th $617 to $1,585
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 $758.58 Median $2,089.30 Typical High $2,570.40 | Facility | None | $758.58 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $2,187.76 | Professional | None | $758.58 | $758.58 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $3,090.30 | Facility | None | $1,348.96 | $1,659.59 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,819.70 | Professional | None | $660.69 | $831.76 | $1,819.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $549.54 Typical High $724.44 | Professional | UE · Used equipment | $489.78 | $549.54 | $724.44 |
Aultcare Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,445.44 | Facility | None | $724.44 | $1,071.52 | $1,445.44 |
CareSource Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,949.84 | Professional | None | $933.25 | $1,288.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
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 $1,445.44 Median $1,445.44 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,445.44 | $2,290.87 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,698.24 | Facility | None | $630.96 | $794.33 | $1,698.24 |
United Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,023.29 | Professional | None | $467.74 | $676.08 | $1,023.29 |
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 $380.19 Median $380.19 Typical High $1,096.48 | Professional | 52 · Reduced service | $380.19 | $380.19 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $436.52 | Professional | 53 · Discontinued | $151.36 | $151.36 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $323.59 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $218.78 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $218.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | RR · Rental | $83.18 | $83.18 | $89.13 |
Where Ohio sits
The same service costs 3.2 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· 36th of 51
$759
HI $1,950DE $617
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.