How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,230 to $3,467Professionalmedian $1,096 · 10th to 90th $891 to $1,995
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 $954.99 Median $954.99 Typical High $4,786.30 | Facility | None | $954.99 | $954.99 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $3,311.31 | Professional | None | $954.99 | $954.99 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,862.09 | $2,290.87 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $2,187.76 | Professional | None | $977.24 | $1,174.90 | $2,187.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $812.83 Typical High $1,071.52 | Professional | UE · Used equipment | $724.44 | $812.83 | $1,071.52 |
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 $977.24 Median $1,445.44 Typical High $1,949.84 | Facility | None | $977.24 | $1,445.44 | $1,949.84 |
CareSource Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,737.80 | $2,630.27 |
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 $812.83 Median $1,122.02 Typical High $1,513.56 | Professional | None | $812.83 | $1,122.02 | $1,513.56 |
SummaCare Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,995.26 | $1,995.26 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,630.27 | Facility | None | $1,071.52 | $1,202.26 | $2,630.27 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,479.11 | Professional | None | $645.65 | $954.99 | $1,479.11 |
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 $1,659.59 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $660.69 | Professional | 53 · Discontinued | $190.55 | $190.55 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $331.13 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | RR · Rental | $117.49 | $117.49 | $125.89 |
Where Ohio sits
The same service costs 3.1 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· 40th of 51
$1,175
HI $2,754DE $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.