How much rates vary
Facilitymedian $1,698 · 10th to 90th $891 to $3,236Professionalmedian $871 · 10th to 90th $646 to $1,622
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 $776.25 Median $776.25 Typical High $3,801.89 | Facility | None | $776.25 | $776.25 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,691.53 | Professional | None | $776.25 | $776.25 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $3,467.37 | Facility | None | $1,513.56 | $1,862.09 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,778.28 | Professional | None | $776.25 | $954.99 | $1,778.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $630.96 Typical High $812.83 | Professional | UE · Used equipment | $575.44 | $630.96 | $812.83 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,584.89 | Facility | None | $794.33 | $1,202.26 | $1,584.89 |
CareSource Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,445.44 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,513.56 | Professional | None | $831.76 | $1,122.02 | $1,513.56 |
SummaCare Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,659.59 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,290.87 | Facility | None | $1,621.81 | $1,621.81 | $2,290.87 |
United Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,148.15 | Professional | None | $524.81 | $794.33 | $1,148.15 |
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 $389.05 Median $389.05 Typical High $1,318.26 | Professional | 52 · Reduced service | $389.05 | $389.05 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $537.03 | Professional | 53 · Discontinued | $154.88 | $154.88 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $398.11 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $269.15 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $269.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | RR · Rental | $95.50 | $95.50 | $102.33 |
Where Ohio sits
The same service costs 2.6 times more in Montana 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· 39th of 51
$891
MT $1,660DE $646
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.