How much rates vary
Facilitymedian $437 · 10th to 90th $263 to $776Professionalmedian $204 · 10th to 90th $191 to $437
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 $194.98 Median $194.98 Typical High $1,071.52 | Facility | None | $194.98 | $194.98 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $758.58 | Professional | None | $194.98 | $194.98 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $870.96 | Facility | None | $389.05 | $478.63 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $524.81 | Professional | None | $204.17 | $257.04 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $169.82 Typical High $239.88 | Professional | UE · Used equipment | $151.36 | $169.82 | $239.88 |
Aultcare Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $537.03 | Facility | None | $269.15 | $407.38 | $537.03 |
CareSource Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $724.44 | Professional | None | $346.74 | $478.63 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $263.03 | Professional | None | $190.55 | $190.55 | $263.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | None | $190.55 | $190.55 | $269.15 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $316.23 | Professional | None | $169.82 | $234.42 | $316.23 |
SummaCare Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $645.65 | Professional | None | $407.38 | $416.87 | $645.65 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $549.54 | Facility | None | $263.03 | $263.03 | $549.54 |
United Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $309.03 | Professional | None | $134.90 | $199.53 | $309.03 |
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 $97.72 Median $97.72 Typical High $371.54 | Professional | 52 · Reduced service | $97.72 | $97.72 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $151.36 | Professional | 53 · Discontinued | $39.81 | $39.81 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $112.20 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $75.86 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | RR · Rental | $32.36 | $32.36 | $34.67 |
Where Ohio sits
The same service costs 3.0 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· 45th of 51
$224
HI $562DE $191
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.