How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,230 to $3,548Professionalmedian $912 · 10th to 90th $794 to $1,950
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 $891.25 Median $891.25 Typical High $3,715.35 | Facility | None | $891.25 | $891.25 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $2,570.40 | Professional | None | $891.25 | $891.25 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $3,981.07 | Facility | None | $1,737.80 | $2,137.96 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,344.23 | Professional | None | $912.01 | $912.01 | $2,344.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $954.99 | Professional | UE · Used equipment | $676.08 | $676.08 | $954.99 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $1,122.02 Typical High $1,479.11 | Facility | None | $741.31 | $1,122.02 | $1,479.11 |
CareSource Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,995.26 | Professional | None | $954.99 | $1,348.96 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,412.54 | Professional | None | $776.25 | $1,047.13 | $1,412.54 |
SummaCare Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,862.09 | $1,862.09 | $2,951.21 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Facility | None | $851.14 | $851.14 | $2,041.74 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,318.26 | Professional | None | $602.56 | $912.01 | $1,318.26 |
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 $446.68 Median $446.68 Typical High $1,288.25 | Professional | 52 · Reduced service | $446.68 | $446.68 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $512.86 | Professional | 53 · Discontinued | $177.83 | $177.83 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $389.05 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $257.04 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | RR · Rental | $91.20 | $91.20 | $97.72 |
Where Ohio sits
The same service costs 2.1 times more in Wisconsin 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· 36th of 51
$912
WI $1,820FL $871
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.