How much rates vary
Facilitymedian $5,888 · 10th to 90th $3,548 to $11,220Professionalmedian $2,754 · 10th to 90th $2,399 to $5,888
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 $2,691.53 Median $2,691.53 Typical High $19,054.61 | Facility | None | $2,691.53 | $2,691.53 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $13,489.63 | Professional | None | $2,691.53 | $2,691.53 | $13,489.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $6,606.93 Typical High $12,022.64 | Facility | None | $5,248.07 | $6,606.93 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $7,079.46 | Professional | None | $2,691.53 | $2,951.21 | $7,079.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,238.72 Typical High $2,884.03 | Professional | UE · Used equipment | $2,089.30 | $2,238.72 | $2,884.03 |
CareSource Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
CareSource Setting Professional Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $6,918.31 | Professional | None | $3,311.31 | $4,570.88 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $4,365.16 | Professional | None | $2,344.23 | $3,235.94 | $4,365.16 |
SummaCare Setting Professional Modifier None Typical Low $5,623.41 Median $5,754.40 Typical High $8,912.51 | Professional | None | $5,623.41 | $5,754.40 | $8,912.51 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,365.16 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $3,981.07 | Professional | None | $1,819.70 | $2,754.23 | $3,981.07 |
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 $1,348.96 Median $1,348.96 Typical High $6,606.93 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $6,606.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $2,691.53 | Professional | 53 · Discontinued | $537.03 | $537.03 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $1,995.26 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $1,995.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $1,348.96 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $1,348.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | RR · Rental | $295.12 | $295.12 | $316.23 |
Where Ohio sits
The same service costs 4.3 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· 35th of 51
$2,951
HI $11,220PA $2,630
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.