How much rates vary
Facilitymedian $1,000 · 10th to 90th $661 to $1,660Professionalmedian $479 · 10th to 90th $427 to $1,000
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 $457.09 Median $457.09 Typical High $1,905.46 | Facility | None | $457.09 | $457.09 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $1,513.56 | Professional | None | $457.09 | $457.09 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $2,041.74 | Facility | None | $891.25 | $1,096.48 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $1,202.26 | Professional | None | $457.09 | $478.63 | $1,202.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $346.74 Typical High $478.63 | Professional | UE · Used equipment | $338.84 | $346.74 | $478.63 |
Aultcare Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $758.58 | Facility | None | $380.19 | $575.44 | $758.58 |
CareSource Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,023.29 | Professional | None | $489.78 | $691.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $933.25 | Professional | None | $501.19 | $691.83 | $933.25 |
SummaCare Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,513.56 | Professional | None | $954.99 | $977.24 | $1,513.56 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,023.29 | Facility | None | $501.19 | $549.54 | $1,023.29 |
United Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $676.08 | Professional | None | $309.03 | $467.74 | $676.08 |
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 $229.09 Median $229.09 Typical High $758.58 | Professional | 52 · Reduced service | $229.09 | $229.09 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $302.00 | Professional | 53 · Discontinued | $91.20 | $91.20 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $229.09 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $151.36 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | RR · Rental | $45.71 | $45.71 | $50.12 |
Where Ohio sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 34th of 51
$490
HI $1,380KS $339
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.