How much rates vary
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 $75.86 Median $75.86 Typical High $239.88 | Facility | None | $75.86 | $75.86 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $239.88 | Professional | None | $75.86 | $75.86 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $181.97 Typical High $338.84 | Facility | None | $147.91 | $181.97 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $199.53 | Professional | None | $75.86 | $91.20 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $63.10 Typical High $81.28 | Professional | UE · Used equipment | $56.23 | $63.10 | $81.28 |
Aultcare Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $154.88 | Facility | None | $77.62 | $117.49 | $154.88 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | None | $100.00 | $141.25 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $154.88 | Professional | None | $83.18 | $114.82 | $154.88 |
SummaCare Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | None | $158.49 | $158.49 | $251.19 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $223.87 | Facility | None | $158.49 | $158.49 | $223.87 |
United Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $112.20 | Professional | None | $51.29 | $77.62 | $112.20 |
3 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 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $36.31 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $23.99 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $23.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | RR · Rental | $9.33 | $9.33 | $10.00 |
Where Ohio sits
The same service costs 2.2 times more in Montana 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· 41st of 51
$89.13
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.