How much rates vary
Facilitymedian $1,479 · 10th to 90th $891 to $2,455Professionalmedian $741 · 10th to 90th $617 to $1,413
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 $741.31 Median $741.31 Typical High $2,630.27 | Facility | None | $741.31 | $741.31 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $2,454.71 | Professional | None | $741.31 | $741.31 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,318.26 | $1,621.81 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,513.56 | Professional | None | $676.08 | $831.76 | $1,513.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $549.54 Typical High $707.95 | Professional | UE · Used equipment | $501.19 | $549.54 | $707.95 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,778.28 | Facility | None | $891.25 | $1,348.96 | $1,778.28 |
CareSource Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,584.89 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,071.52 | Professional | None | $588.84 | $794.33 | $1,071.52 |
SummaCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,412.54 | $2,238.72 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,023.29 | Professional | None | $457.09 | $691.83 | $1,023.29 |
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 $371.54 Median $371.54 Typical High $1,230.27 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $489.78 | Professional | 53 · Discontinued | $147.91 | $147.91 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $371.54 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $245.47 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $245.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | RR · Rental | $83.18 | $83.18 | $89.13 |
Where Ohio sits
The same service costs 3.0 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· 43rd of 51
$794
HI $1,905DE $646
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.