How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,622 to $4,467Professionalmedian $1,259 · 10th to 90th $1,096 to $2,754
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 $1,230.27 Median $1,230.27 Typical High $5,754.40 | Facility | None | $1,230.27 | $1,230.27 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $3,981.07 | Professional | None | $1,230.27 | $1,230.27 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $5,495.41 | Facility | None | $2,398.83 | $2,951.21 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,288.25 | $3,235.94 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $954.99 Typical High $1,348.96 | Professional | UE · Used equipment | $933.25 | $954.99 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,584.89 | $2,137.96 |
CareSource Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,905.46 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,819.70 | $2,454.71 |
SummaCare Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $4,073.80 | Professional | None | $2,570.40 | $2,570.40 | $4,073.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,819.70 | Professional | None | $831.76 | $1,258.93 | $1,819.70 |
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 $616.60 Median $616.60 Typical High $1,995.26 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $794.33 | Professional | 53 · Discontinued | $245.47 | $245.47 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $588.84 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $398.11 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | RR · Rental | $128.82 | $128.82 | $138.04 |
Where Ohio sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 33rd of 51
$1,288
HI $3,020PA $1,122
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.