How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,175 to $3,548Professionalmedian $1,072 · 10th to 90th $851 to $2,042
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 $1,071.52 Median $1,071.52 Typical High $3,801.89 | Facility | None | $1,071.52 | $1,071.52 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,548.13 | Professional | None | $1,071.52 | $1,071.52 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,365.16 | Facility | None | $1,905.46 | $2,344.23 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $2,238.72 | Professional | None | $977.24 | $1,122.02 | $2,238.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $812.83 Typical High $1,071.52 | Professional | UE · Used equipment | $724.44 | $812.83 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,905.46 | Facility | None | $954.99 | $1,445.44 | $1,905.46 |
CareSource Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,737.80 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,584.89 | Professional | None | $851.14 | $1,174.90 | $1,584.89 |
SummaCare Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $3,235.94 | Professional | None | $2,041.74 | $2,089.30 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,445.44 | Professional | None | $660.69 | $954.99 | $1,445.44 |
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 $537.03 Median $537.03 Typical High $1,778.28 | Professional | 52 · Reduced service | $537.03 | $537.03 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $707.95 | Professional | 53 · Discontinued | $213.80 | $213.80 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $524.81 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $354.81 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $354.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | RR · Rental | $112.20 | $112.20 | $123.03 |
Where Ohio sits
The same service costs 3.3 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· 32nd of 51
$1,122
HI $2,818DE $851
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.