How much rates vary
Facilitymedian $891 · 10th to 90th $550 to $1,514Professionalmedian $447 · 10th to 90th $389 to $851
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 $446.68 Median $1,230.27 Typical High $1,513.56 | Facility | None | $446.68 | $1,230.27 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,288.25 | Professional | None | $446.68 | $446.68 | $1,288.25 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $1,819.70 | Facility | None | $794.33 | $977.24 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $1,071.52 | Professional | None | $407.38 | $501.19 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $338.84 Typical High $436.52 | Professional | UE · Used equipment | $302.00 | $338.84 | $436.52 |
Aultcare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $758.58 | Professional | None | $724.44 | $724.44 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $933.25 | Facility | None | $457.09 | $691.83 | $933.25 |
CareSource Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,258.93 | Professional | None | $602.56 | $831.76 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $831.76 | Professional | None | $446.68 | $616.60 | $831.76 |
SummaCare Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,174.90 | Professional | None | $575.44 | $851.14 | $1,174.90 |
United Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,096.48 | Facility | None | $331.13 | $436.52 | $1,096.48 |
United Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $602.56 | Professional | None | $275.42 | $407.38 | $602.56 |
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 $223.87 Median $223.87 Typical High $645.65 | Professional | 52 · Reduced service | $223.87 | $223.87 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $257.04 | Professional | 53 · Discontinued | $89.13 | $89.13 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $194.98 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $128.82 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | RR · Rental | $53.70 | $53.70 | $57.54 |
Where Ohio sits
The same service costs 2.4 times more in Iowa 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· 39th of 51
$468
IA $955DE $398
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.