How much rates vary
Facilitymedian $631 · 10th to 90th $339 to $1,047Professionalmedian $309 · 10th to 90th $245 to $631
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 $316.23 Median $316.23 Typical High $1,023.29 | Facility | None | $316.23 | $316.23 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | None | $316.23 | $316.23 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $1,288.25 | Facility | None | $562.34 | $691.83 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $758.58 | Professional | None | $281.84 | $323.59 | $758.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $239.88 Typical High $309.03 | Professional | UE · Used equipment | $213.80 | $239.88 | $309.03 |
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 $275.42 Median $407.38 Typical High $549.54 | Facility | None | $275.42 | $407.38 | $549.54 |
CareSource Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $741.31 | Professional | None | $354.81 | $489.78 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $467.74 | Professional | None | $251.19 | $338.84 | $467.74 |
SummaCare Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $954.99 | Professional | None | $602.56 | $602.56 | $954.99 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $724.44 | Facility | None | $354.81 | $407.38 | $724.44 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $426.58 | Professional | None | $194.98 | $281.84 | $426.58 |
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 $158.49 Median $158.49 Typical High $478.63 | Professional | 52 · Reduced service | $158.49 | $158.49 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $190.55 | Professional | 53 · Discontinued | $63.10 | $63.10 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $144.54 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $32.36 | $32.36 | $42.66 |
Where Ohio sits
The same service costs 4.2 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· 39th of 51
$316
HI $1,023DE $245
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.