How much rates vary
Facilitymedian $1,445 · 10th to 90th $871 to $2,754Professionalmedian $676 · 10th to 90th $631 to $1,479
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 $660.69 Median $660.69 Typical High $6,606.93 | Facility | None | $660.69 | $660.69 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $4,570.88 | Professional | None | $660.69 | $660.69 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,951.21 | Facility | None | $1,288.25 | $1,584.89 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,737.80 | Professional | None | $676.08 | $812.83 | $1,737.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $562.34 Typical High $724.44 | Professional | UE · Used equipment | $501.19 | $562.34 | $724.44 |
CareSource Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,348.96 | Facility | None | $676.08 | $1,000.00 | $1,348.96 |
CareSource Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,819.70 | Professional | None | $870.96 | $1,202.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,071.52 | Professional | None | $575.44 | $776.25 | $1,071.52 |
SummaCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,380.38 | $2,187.76 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,819.70 | Facility | None | $891.25 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,023.29 | Professional | None | $446.68 | $676.08 | $1,023.29 |
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 $331.13 Median $331.13 Typical High $2,290.87 | Professional | 52 · Reduced service | $331.13 | $331.13 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $912.01 | Professional | 53 · Discontinued | $131.83 | $131.83 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $676.08 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $457.09 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $457.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | RR · Rental | $81.28 | $81.28 | $89.13 |
Where Ohio sits
The same service costs 4.0 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· 46th of 51
$741
HI $2,512DE $631
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.