How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,230 to $3,715Professionalmedian $955 · 10th to 90th $871 to $2,138
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 $933.25 Median $933.25 Typical High $5,370.32 | Facility | None | $933.25 | $933.25 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $3,715.35 | Professional | None | $933.25 | $933.25 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $4,168.69 | Facility | None | $1,819.70 | $2,238.72 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,454.71 | Professional | None | $954.99 | $1,047.13 | $2,454.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $794.33 Typical High $1,047.13 | Professional | UE · Used equipment | $707.95 | $794.33 | $1,047.13 |
Aultcare Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,513.56 | $2,041.74 |
SummaCare Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,949.84 | $1,995.26 | $3,090.30 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,344.23 | Facility | None | $977.24 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,380.38 | Professional | None | $630.96 | $954.99 | $1,380.38 |
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 $467.74 Median $467.74 Typical High $1,862.09 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $741.31 | Professional | 53 · Discontinued | $186.21 | $186.21 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $549.54 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $371.54 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $371.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | RR · Rental | $104.71 | $104.71 | $114.82 |
Where Ohio sits
The same service costs 2.8 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· 40th of 51
$1,047
HI $2,455PA $891
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.