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 $2,344.23 Median $2,344.23 Typical High $10,964.78 | Facility | None | $2,344.23 | $2,344.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $7,585.78 | Professional | None | $2,344.23 | $2,344.23 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,754.40 Typical High $10,471.29 | Facility | None | $4,677.35 | $5,754.40 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,398.83 | $2,884.03 | $5,495.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $2,041.74 Typical High $2,630.27 | Professional | UE · Used equipment | $1,819.70 | $2,041.74 | $2,630.27 |
Aultcare Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,454.71 | $3,630.78 | $4,897.79 |
CareSource Setting Professional Modifier None Typical Low $3,162.28 Median $4,365.16 Typical High $6,606.93 | Professional | None | $3,162.28 | $4,365.16 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $5,623.41 | Professional | None | $3,019.95 | $4,168.69 | $5,623.41 |
SummaCare Setting Professional Modifier None Typical Low $4,897.79 Median $5,011.87 Typical High $7,762.47 | Professional | None | $4,897.79 | $5,011.87 | $7,762.47 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,079.46 | Facility | None | $5,011.87 | $5,011.87 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,398.83 | $3,467.37 |
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 $354.81 Median $354.81 Typical High $1,148.15 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $758.58 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $758.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | RR · Rental | $288.40 | $288.40 | $316.23 |
Where Ohio sits
The same service costs 2.4 times more in Montana 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· 36th of 51
$2,884
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.