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 $630.96 Median $630.96 Typical High $3,019.95 | Facility | None | $630.96 | $630.96 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $2,089.30 | Professional | None | $630.96 | $630.96 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,818.38 | Facility | None | $1,230.27 | $1,548.82 | $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 $691.83 | Professional | UE · Used equipment | $489.78 | $537.03 | $691.83 |
Aultcare Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
CareSource Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $1,318.26 | Facility | None | $645.65 | $977.24 | $1,318.26 |
CareSource Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,778.28 | Professional | None | $851.14 | $1,174.90 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Molina Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,513.56 | Professional | None | $812.83 | $1,122.02 | $1,513.56 |
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 $1,348.96 Median $1,348.96 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,348.96 | $1,905.46 |
United Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $933.25 | Professional | None | $436.52 | $645.65 | $933.25 |
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 $95.50 Median $95.50 Typical High $316.23 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $208.93 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | RR · Rental | $77.62 | $77.62 | $85.11 |
Where Ohio sits
The same service costs 2.4 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· 38th of 51
$724
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.