How much rates vary
Facilitymedian $1,905 · 10th to 90th $955 to $3,162Professionalmedian $891 · 10th to 90th $708 to $1,950
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 $870.96 Median $870.96 Typical High $3,981.07 | Facility | None | $870.96 | $870.96 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $2,754.23 | Professional | None | $870.96 | $870.96 | $2,754.23 |
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 $891.25 Median $1,122.02 Typical High $2,290.87 | Professional | None | $891.25 | $1,122.02 | $2,290.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $741.31 Typical High $1,096.48 | Professional | UE · Used equipment | $676.08 | $741.31 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,548.82 | Facility | None | $776.25 | $1,148.15 | $1,548.82 |
CareSource Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,380.38 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
Molina Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,819.70 | Professional | None | $977.24 | $1,348.96 | $1,819.70 |
SummaCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,819.70 | $1,862.09 | $2,884.03 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,089.30 | Facility | None | $173.78 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,288.25 | Professional | None | $588.84 | $891.25 | $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 $436.52 Median $436.52 Typical High $1,380.38 | Professional | 52 · Reduced service | $436.52 | $436.52 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $549.54 | Professional | 53 · Discontinued | $173.78 | $173.78 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $416.87 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $275.42 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | RR · Rental | $144.54 | $144.54 | $154.88 |
Where Ohio sits
The same service costs 3.2 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· 37th of 51
$955
HI $2,239DE $708
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.