How much rates vary
Facilitymedian $813 · 10th to 90th $398 to $1,479Professionalmedian $380 · 10th to 90th $288 to $776
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 $371.54 Median $371.54 Typical High $1,584.89 | Facility | None | $371.54 | $371.54 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $1,122.02 | Professional | None | $371.54 | $371.54 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,659.59 | Facility | None | $724.44 | $891.25 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $851.14 | Professional | None | $371.54 | $380.19 | $851.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $288.40 Typical High $398.11 | Professional | UE · Used equipment | $275.42 | $288.40 | $398.11 |
Aultcare Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $645.65 | Facility | None | $323.59 | $478.63 | $645.65 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $870.96 | Professional | None | $416.87 | $575.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $588.84 | Professional | None | $323.59 | $436.52 | $588.84 |
SummaCare Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,230.27 | Professional | None | $776.25 | $776.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $851.14 | Facility | None | $363.08 | $363.08 | $851.14 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $549.54 | Professional | None | $251.19 | $380.19 | $549.54 |
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 $186.21 Median $186.21 Typical High $549.54 | Professional | 52 · Reduced service | $186.21 | $186.21 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $223.87 | Professional | 53 · Discontinued | $74.13 | $74.13 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $165.96 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | RR · Rental | $38.02 | $38.02 | $41.69 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii 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
$380
HI $794DE $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.