How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,291 to $7,943Professionalmedian $1,995 · 10th to 90th $1,660 to $4,365
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 $1,995.26 Median $1,995.26 Typical High $9,120.11 | Facility | None | $1,995.26 | $1,995.26 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $6,309.57 | Professional | None | $1,995.26 | $1,995.26 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,890.45 | $4,786.30 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $5,248.07 | Professional | None | $1,995.26 | $2,290.87 | $5,248.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,659.59 Typical High $2,187.76 | Professional | UE · Used equipment | $1,479.11 | $1,659.59 | $2,187.76 |
CareSource Setting Facility Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $4,073.80 | Facility | None | $2,041.74 | $3,090.30 | $4,073.80 |
CareSource Setting Professional Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $5,495.41 | Professional | None | $2,630.27 | $3,715.35 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,344.23 | $3,235.94 |
SummaCare Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,606.93 | Professional | None | $4,168.69 | $4,168.69 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,011.87 | Facility | None | $1,995.26 | $1,995.26 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,348.96 | $2,041.74 | $2,951.21 |
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 $1,000.00 Median $1,000.00 Typical High $3,162.28 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $1,258.93 | Professional | 53 · Discontinued | $398.11 | $398.11 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $933.25 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $630.96 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $630.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | RR · Rental | $218.78 | $218.78 | $239.88 |
Where Ohio sits
The same service costs 2.5 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· 43rd of 51
$2,138
HI $4,365DE $1,738
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.