How much rates vary
Facilitymedian $562 · 10th to 90th $339 to $933Professionalmedian $288 · 10th to 90th $245 to $537
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 $257.04 Median $257.04 Typical High $1,318.26 | Facility | None | $257.04 | $257.04 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $933.25 | Professional | None | $257.04 | $257.04 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $1,148.15 | Facility | None | $501.19 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $575.44 | Professional | None | $257.04 | $316.23 | $575.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $218.78 Typical High $281.84 | Professional | UE · Used equipment | $190.55 | $218.78 | $281.84 |
Aultcare Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $524.81 | Facility | None | $263.03 | $389.05 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $707.95 | Professional | None | $338.84 | $467.74 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $416.87 | Professional | None | $223.87 | $302.00 | $416.87 |
SummaCare Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $851.14 | Professional | None | $537.03 | $537.03 | $851.14 |
United Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $707.95 | Facility | None | $263.03 | $363.08 | $707.95 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $398.11 | Professional | None | $173.78 | $263.03 | $398.11 |
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 $128.82 Median $128.82 Typical High $457.09 | Professional | 52 · Reduced service | $128.82 | $128.82 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $186.21 | Professional | 53 · Discontinued | $51.29 | $51.29 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $138.04 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $93.33 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $93.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | RR · Rental | $31.62 | $31.62 | $34.67 |
Where Ohio sits
The same service costs 2.8 times more in Wyoming 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· 37th of 51
$316
WY $676DE $245
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.