How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,820 to $5,248Professionalmedian $1,479 · 10th to 90th $1,318 to $3,090
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 $1,445.44 Median $1,445.44 Typical High $5,888.44 | Facility | None | $1,445.44 | $1,445.44 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $4,073.80 | Professional | None | $1,445.44 | $1,445.44 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,467.37 Typical High $6,456.54 | Facility | None | $2,818.38 | $3,467.37 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $3,801.89 | Professional | None | $1,412.54 | $1,737.80 | $3,801.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,202.26 Typical High $1,513.56 | Professional | UE · Used equipment | $1,071.52 | $1,202.26 | $1,513.56 |
Aultcare Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,445.44 | $2,137.96 | $2,884.03 |
CareSource Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,570.40 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $2,951.21 | Professional | None | $1,584.89 | $2,187.76 | $2,951.21 |
SummaCare Setting Professional Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $4,786.30 | Professional | None | $3,019.95 | $3,090.30 | $4,786.30 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $3,090.30 | Facility | None | $870.96 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,137.96 | Professional | None | $977.24 | $1,479.11 | $2,137.96 |
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 $724.44 Median $724.44 Typical High $2,041.74 | Professional | 52 · Reduced service | $724.44 | $724.44 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $831.76 | Professional | 53 · Discontinued | $288.40 | $288.40 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $616.60 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $407.38 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $407.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | RR · Rental | $169.82 | $169.82 | $186.21 |
Where Ohio sits
The same service costs 2.3 times more in Wisconsin 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· 36th of 51
$1,585
WI $2,951PA $1,288
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.