How much rates vary
Facilitymedian $407 · 10th to 90th $245 to $676Professionalmedian $191 · 10th to 90th $182 to $398
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 $186.21 Median $186.21 Typical High $954.99 | Facility | None | $186.21 | $186.21 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $630.96 | Professional | None | $186.21 | $186.21 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $380.19 | Professional | None | $302.00 | $309.03 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $831.76 | Facility | None | $363.08 | $446.68 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $489.78 | Professional | None | $186.21 | $229.09 | $489.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $154.88 Typical High $204.17 | Professional | UE · Used equipment | $138.04 | $154.88 | $204.17 |
Aultcare Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $380.19 | Facility | None | $190.55 | $288.40 | $380.19 |
CareSource Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $512.86 | Professional | None | $245.47 | $346.74 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $302.00 | Professional | None | $162.18 | $223.87 | $302.00 |
SummaCare Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $616.60 | Professional | None | $389.05 | $398.11 | $616.60 |
United Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $512.86 | Facility | None | $190.55 | $245.47 | $512.86 |
United Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $295.12 | Professional | None | $125.89 | $190.55 | $295.12 |
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 $93.33 Median $93.33 Typical High $316.23 | Professional | 52 · Reduced service | $93.33 | $93.33 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $125.89 | Professional | 53 · Discontinued | $37.15 | $37.15 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $95.50 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $63.10 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $63.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | RR · Rental | $22.91 | $22.91 | $25.12 |
Where Ohio sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 48th of 51
$214
KS $457FL $186
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.