How much rates vary
Facilitymedian $813 · 10th to 90th $525 to $1,318Professionalmedian $389 · 10th to 90th $309 to $759
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 $398.11 Median $398.11 Typical High $1,202.26 | Facility | None | $398.11 | $398.11 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,148.15 | Professional | None | $398.11 | $398.11 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,621.81 | Facility | None | $707.95 | $891.25 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $954.99 | Professional | None | $363.08 | $389.05 | $954.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $281.84 Typical High $371.54 | Professional | UE · Used equipment | $275.42 | $281.84 | $371.54 |
Aultcare Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | None | $645.65 | $645.65 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $630.96 | Facility | None | $309.03 | $467.74 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $851.14 | Professional | None | $407.38 | $562.34 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $501.19 | Professional | None | $380.19 | $380.19 | $501.19 |
Molina Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $741.31 | Professional | None | $407.38 | $549.54 | $741.31 |
SummaCare Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,202.26 | Professional | None | $758.58 | $758.58 | $1,202.26 |
United Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $851.14 | Facility | None | $389.05 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $537.03 | Professional | None | $239.88 | $354.81 | $537.03 |
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 $199.53 Median $199.53 Typical High $575.44 | Professional | 52 · Reduced service | $199.53 | $199.53 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $229.09 | Professional | 53 · Discontinued | $79.43 | $79.43 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $173.78 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $114.82 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | RR · Rental | $38.02 | $38.02 | $42.66 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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· 32nd of 51
$389
HI $977MD $355
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.