How much rates vary
Facilitymedian $708 · 10th to 90th $631 to $1,349Professionalmedian $692 · 10th to 90th $389 to $1,072
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 $346.74 Median $346.74 Typical High $1,659.59 | Facility | None | $346.74 | $346.74 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $1,548.82 | Professional | None | $346.74 | $346.74 | $1,548.82 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,445.44 | Facility | None | $630.96 | $776.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,174.90 | Professional | None | $676.08 | $776.25 | $1,174.90 |
Aultcare Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
CareSource Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $707.95 | Facility | None | $354.81 | $537.03 | $707.95 |
CareSource Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $954.99 | Professional | None | $467.74 | $645.65 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $676.08 | Professional | None | $389.05 | $467.74 | $676.08 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,023.29 | Professional | None | $549.54 | $758.58 | $1,023.29 |
SummaCare Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,288.25 | Professional | None | $912.01 | $1,000.00 | $1,288.25 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,148.15 | Facility | None | $812.83 | $812.83 | $1,148.15 |
United Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $724.44 | Professional | None | $323.59 | $512.86 | $724.44 |
6 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 $173.78 Median $173.78 Typical High $776.25 | Professional | 52 · Reduced service | $173.78 | $173.78 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $316.23 | Professional | 53 · Discontinued | $69.18 | $69.18 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $234.42 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $154.88 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $154.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | UE · Used equipment | $512.86 | $512.86 | $512.86 |
Where Ohio sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 10th of 51
$692
KS $1,000UT $457
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.