How much rates vary
Facilitymedian $1,905 · 10th to 90th $891 to $3,162Professionalmedian $871 · 10th to 90th $646 to $1,820
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 $954.99 Median $954.99 Typical High $2,754.23 | Facility | None | $954.99 | $954.99 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,570.40 | Professional | None | $954.99 | $954.99 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $3,890.45 | Facility | None | $1,698.24 | $2,089.30 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,949.84 | Professional | None | $851.14 | $870.96 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | UE · Used equipment | $645.65 | $645.65 | $912.01 |
Aultcare Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,737.80 | Facility | None | $870.96 | $1,288.25 | $1,737.80 |
CareSource Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,548.82 | $2,344.23 |
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 $758.58 Median $1,047.13 Typical High $1,412.54 | Professional | None | $758.58 | $1,047.13 | $1,412.54 |
SummaCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,819.70 | $1,819.70 | $2,884.03 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,288.25 | Professional | None | $549.54 | $831.76 | $1,288.25 |
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 $478.63 Median $478.63 Typical High $1,288.25 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $512.86 | Professional | 53 · Discontinued | $190.55 | $190.55 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $380.19 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $257.04 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | RR · Rental | $85.11 | $85.11 | $114.82 |
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· 25th of 51
$891
HI $1,950DE $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.