How much rates vary
Facilitymedian $1,622 · 10th to 90th $832 to $2,692Professionalmedian $813 · 10th to 90th $603 to $1,622
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 $812.83 Median $812.83 Typical High $2,630.27 | Facility | None | $812.83 | $812.83 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $2,454.71 | Professional | None | $812.83 | $812.83 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,445.44 | $1,778.28 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,949.84 | Professional | None | $741.31 | $812.83 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $602.56 Typical High $794.33 | Professional | UE · Used equipment | $562.34 | $602.56 | $794.33 |
Aultcare Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,318.26 | Facility | None | $660.69 | $1,000.00 | $1,318.26 |
CareSource Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,778.28 | Professional | None | $870.96 | $1,202.26 | $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 $645.65 Median $891.25 Typical High $1,202.26 | Professional | None | $645.65 | $891.25 | $1,202.26 |
SummaCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,548.82 | $1,584.89 | $2,454.71 |
United Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,819.70 | Facility | None | $870.96 | $891.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,096.48 | Professional | None | $501.19 | $724.44 | $1,096.48 |
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 $407.38 Median $407.38 Typical High $1,202.26 | Professional | 52 · Reduced service | $407.38 | $407.38 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $489.78 | Professional | 53 · Discontinued | $162.18 | $162.18 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $363.08 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $245.47 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $245.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | RR · Rental | $81.28 | $81.28 | $87.10 |
Where Ohio sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 34th of 51
$813
HI $2,239KS $513
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.