How much rates vary
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 $14.13 Median $14.13 Typical High $70.79 | Facility | None | $14.13 | $14.13 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $64.57 | Professional | None | $14.13 | $14.13 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $46.77 | Professional | None | $23.99 | $30.20 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $22.39 Typical High $30.90 | Professional | UE · Used equipment | $17.78 | $22.39 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $40.74 Typical High $63.10 | Facility | None | $23.99 | $40.74 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | None | $30.90 | $30.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $57.54 | Professional | None | $29.51 | $38.02 | $57.54 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $27.54 | Professional | None | $11.22 | $16.98 | $27.54 |
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 $7.08 Median $7.08 Typical High $32.36 | Professional | 52 · Reduced service | $7.08 | $7.08 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $12.88 | Professional | 53 · Discontinued | $2.82 | $2.82 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $9.77 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.41 Typical High $6.46 | Professional | 56 · Pre-op care only | $1.41 | $1.41 | $6.46 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Where Ohio sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 17th of 51
$25.70
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.