How much rates vary
Facilitymedian $8,128 · 10th to 90th $4,898 to $13,804Professionalmedian $3,802 · 10th to 90th $3,388 to $8,511
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 $3,630.78 Median $3,630.78 Typical High $19,952.62 | Facility | None | $3,630.78 | $3,630.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $13,803.84 | Professional | None | $3,630.78 | $3,630.78 | $13,803.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $8,912.51 Typical High $16,218.10 | Facility | None | $7,244.36 | $8,912.51 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $9,772.37 | Professional | None | $3,801.89 | $3,801.89 | $9,772.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $3,890.45 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $3,890.45 |
CareSource Setting Facility Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $6,165.95 | Facility | None | $3,090.30 | $4,677.35 | $6,165.95 |
CareSource Setting Professional Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $8,317.64 | Professional | None | $4,073.80 | $5,623.41 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $9,772.37 | Professional | None | $5,248.07 | $7,244.36 | $9,772.37 |
SummaCare Setting Professional Modifier None Typical Low $7,585.78 Median $7,762.47 Typical High $12,022.64 | Professional | None | $7,585.78 | $7,762.47 | $12,022.64 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,317.64 | Facility | None | $4,073.80 | $5,370.32 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $5,495.41 | Professional | None | $2,511.89 | $3,715.35 | $5,495.41 |
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 $1,819.70 Median $1,819.70 Typical High $6,918.31 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $6,918.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $2,754.23 | Professional | 53 · Discontinued | $741.31 | $741.31 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $2,089.30 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $2,089.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $363.08 Typical High $1,380.38 | Professional | 56 · Pre-op care only | $363.08 | $363.08 | $1,380.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | RR · Rental | $380.19 | $380.19 | $407.38 |
Where Ohio sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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
$3,802
HI $11,482DC $3,311
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.