How much rates vary
Facilitymedian $3,162 · 10th to 90th $2,042 to $5,248Professionalmedian $1,514 · 10th to 90th $1,349 to $3,162
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 $1,412.54 Median $1,412.54 Typical High $7,413.10 | Facility | None | $1,412.54 | $1,412.54 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $5,128.61 | Professional | None | $1,412.54 | $1,412.54 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,467.37 Typical High $6,309.57 | Facility | None | $2,818.38 | $3,467.37 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $3,801.89 | Professional | None | $1,445.44 | $1,698.24 | $3,801.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,230.27 Typical High $1,584.89 | Professional | UE · Used equipment | $1,096.48 | $1,230.27 | $1,584.89 |
CareSource Setting Facility Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,412.54 | $2,137.96 | $2,884.03 |
CareSource Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,570.40 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,698.24 | $2,290.87 |
SummaCare Setting Professional Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $4,677.35 | Professional | None | $2,951.21 | $3,019.95 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,905.46 | $1,949.84 | $3,890.45 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $2,187.76 | Professional | None | $977.24 | $1,445.44 | $2,187.76 |
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 $707.95 Median $707.95 Typical High $2,570.40 | Professional | 52 · Reduced service | $707.95 | $707.95 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $1,023.29 | Professional | 53 · Discontinued | $281.84 | $281.84 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $776.25 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $512.86 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | RR · Rental | $169.82 | $169.82 | $186.21 |
Where Ohio sits
The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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· 47th of 51
$1,585
HI $4,677PA $1,514
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.