How much rates vary
Facilitymedian $603 · 10th to 90th $316 to $1,023Professionalmedian $275 · 10th to 90th $229 to $603
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 $302.00 Median $831.76 Typical High $1,023.29 | Facility | None | $302.00 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | None | $302.00 | $302.00 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $1,230.27 | Facility | None | $537.03 | $660.69 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $724.44 | Professional | None | $234.42 | $275.42 | $724.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $208.93 Typical High $302.00 | Professional | UE · Used equipment | $199.53 | $208.93 | $302.00 |
Aultcare Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $562.34 | Facility | None | $281.84 | $426.58 | $562.34 |
CareSource Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $758.58 | Professional | None | $371.54 | $512.86 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $537.03 | Professional | None | $288.40 | $398.11 | $537.03 |
SummaCare Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $794.33 | Professional | None | $398.11 | $575.44 | $794.33 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $831.76 | Facility | None | $588.84 | $588.84 | $831.76 |
United Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $407.38 | Professional | None | $186.21 | $275.42 | $407.38 |
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 $151.36 Median $151.36 Typical High $407.38 | Professional | 52 · Reduced service | $151.36 | $151.36 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $162.18 | Professional | 53 · Discontinued | $60.26 | $60.26 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $120.23 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $81.28 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | RR · Rental | $22.91 | $22.91 | $25.12 |
Where Ohio sits
The same service costs 2.6 times more in Montana 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· 46th of 51
$275
MT $589DE $229
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.