How much rates vary
Facilitymedian $234 · 10th to 90th $141 to $389Professionalmedian $110 · 10th to 90th $98 to $234
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 $107.15 Median $107.15 Typical High $537.03 | Facility | None | $107.15 | $107.15 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $371.54 | Professional | None | $107.15 | $107.15 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $478.63 | Facility | None | $208.93 | $257.04 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $281.84 | Professional | None | $109.65 | $131.83 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $91.20 Typical High $120.23 | Professional | UE · Used equipment | $81.28 | $91.20 | $120.23 |
Aultcare Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $218.78 | Facility | None | $109.65 | $162.18 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $295.12 | Professional | None | $141.25 | $194.98 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | None | $93.33 | $125.89 | $169.82 |
SummaCare Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $354.81 | Professional | None | $223.87 | $223.87 | $354.81 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $295.12 | Facility | None | $144.54 | $158.49 | $295.12 |
United Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $165.96 | Professional | None | $72.44 | $109.65 | $165.96 |
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 $53.70 Median $53.70 Typical High $186.21 | Professional | 52 · Reduced service | $53.70 | $53.70 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $75.86 | Professional | 53 · Discontinued | $21.38 | $21.38 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $56.23 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $37.15 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $37.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | RR · Rental | $13.18 | $13.18 | $14.13 |
Where Ohio sits
The same service costs 3.7 times more in Hawaii 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· 44th of 51
$120
HI $380FL $102
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.