How much rates vary
Facilitymedian $4,169 · 10th to 90th $2,455 to $6,918Professionalmedian $1,905 · 10th to 90th $1,738 to $4,266
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 $1,862.09 Median $1,862.09 Typical High $10,000.00 | Facility | None | $1,862.09 | $1,862.09 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $6,918.31 | Professional | None | $1,862.09 | $1,862.09 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $8,317.64 | Facility | None | $3,630.78 | $4,570.88 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,897.79 | Professional | None | $1,905.46 | $1,905.46 | $4,897.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,445.44 Typical High $1,949.84 | Professional | UE · Used equipment | $1,412.54 | $1,445.44 | $1,949.84 |
CareSource Setting Facility Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $3,090.30 | Facility | None | $1,548.82 | $2,344.23 | $3,090.30 |
CareSource Setting Professional Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,818.38 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $4,897.79 | Professional | None | $2,630.27 | $3,630.78 | $4,897.79 |
SummaCare Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $6,165.95 | Professional | None | $3,890.45 | $3,981.07 | $6,165.95 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $4,265.80 | Facility | None | $2,089.30 | $2,187.76 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,905.46 | $2,754.23 |
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 $933.25 Median $933.25 Typical High $3,467.37 | Professional | 52 · Reduced service | $933.25 | $933.25 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $1,380.38 | Professional | 53 · Discontinued | $371.54 | $371.54 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $1,023.29 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $691.83 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $691.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | RR · Rental | $190.55 | $190.55 | $204.17 |
Where Ohio sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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
$1,905
HI $5,623DC $1,660
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.