How much rates vary
Facilitymedian $1,413 · 10th to 90th $832 to $2,570Professionalmedian $708 · 10th to 90th $603 to $1,349
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 $707.95 Median $707.95 Typical High $2,754.23 | Facility | None | $707.95 | $707.95 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $2,570.40 | Professional | None | $707.95 | $707.95 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,884.03 | Facility | None | $1,258.93 | $1,584.89 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,513.56 | Professional | None | $645.65 | $794.33 | $1,513.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $549.54 Typical High $741.31 | Professional | UE · Used equipment | $489.78 | $549.54 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $977.24 Typical High $1,318.26 | Facility | None | $660.69 | $977.24 | $1,318.26 |
CareSource Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,778.28 | Professional | None | $851.14 | $1,174.90 | $1,778.28 |
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 $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $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 $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,047.13 | Professional | None | $562.34 | $776.25 | $1,047.13 |
SummaCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,348.96 | $1,380.38 | $2,137.96 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $977.24 | Professional | None | $446.68 | $660.69 | $977.24 |
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 $354.81 Median $354.81 Typical High $1,288.25 | Professional | 52 · Reduced service | $354.81 | $354.81 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $512.86 | Professional | 53 · Discontinued | $141.25 | $141.25 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $389.05 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $257.04 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | RR · Rental | $79.43 | $79.43 | $102.33 |
Where Ohio sits
The same service costs 5.4 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
$776
HI $3,236DE $603
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.