How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,995 to $6,607Professionalmedian $1,950 · 10th to 90th $1,479 to $4,074
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 $1,995.26 Median $1,995.26 Typical High $6,456.54 | Facility | None | $1,995.26 | $1,995.26 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $6,025.60 | Professional | None | $1,995.26 | $1,995.26 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,365.16 Typical High $8,128.31 | Facility | None | $3,548.13 | $4,365.16 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $4,786.30 | Professional | None | $1,819.70 | $1,949.84 | $4,786.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,479.11 Typical High $1,905.46 | Professional | UE · Used equipment | $1,348.96 | $1,479.11 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $3,890.45 | Facility | None | $1,949.84 | $2,951.21 | $3,890.45 |
CareSource Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,548.13 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,818.38 | $3,801.89 |
SummaCare Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $6,025.60 | Professional | None | $3,801.89 | $3,801.89 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,778.28 | $2,691.53 |
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 $1,000.00 Median $1,000.00 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $1,202.26 | Professional | 53 · Discontinued | $398.11 | $398.11 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $912.01 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $602.56 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $602.56 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | RR · Rental | $194.98 | $194.98 | $213.80 |
Where Ohio sits
The same service costs 4.4 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· 35th of 51
$1,950
HI $6,457DE $1,479
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.