How much rates vary
Facilitymedian $1,380 · 10th to 90th $912 to $2,512Professionalmedian $661 · 10th to 90th $603 to $1,413
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 $630.96 Median $630.96 Typical High $3,630.78 | Facility | None | $630.96 | $630.96 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $2,511.89 | Professional | None | $630.96 | $630.96 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $2,818.38 | Facility | None | $1,230.27 | $1,513.56 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,659.59 | Professional | None | $645.65 | $794.33 | $1,659.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $537.03 Typical High $707.95 | Professional | UE · Used equipment | $489.78 | $537.03 | $707.95 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $1,288.25 Typical High $1,737.80 | Facility | None | $851.14 | $1,288.25 | $1,737.80 |
CareSource Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,548.82 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,023.29 | Professional | None | $549.54 | $758.58 | $1,023.29 |
SummaCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,348.96 | $2,089.30 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,737.80 | Facility | None | $575.44 | $676.08 | $1,737.80 |
United Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $1,000.00 | Professional | None | $426.58 | $645.65 | $1,000.00 |
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 $316.23 Median $316.23 Typical High $1,258.93 | Professional | 52 · Reduced service | $316.23 | $316.23 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $501.19 | Professional | 53 · Discontinued | $125.89 | $125.89 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $380.19 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $251.19 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | RR · Rental | $79.43 | $79.43 | $85.11 |
Where Ohio sits
The same service costs 2.3 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· 46th of 51
$692
HI $1,514DE $661
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.