How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,951 to $7,586Professionalmedian $2,188 · 10th to 90th $1,862 to $4,467
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 $2,041.74 Median $2,041.74 Typical High $7,762.47 | Facility | None | $2,041.74 | $2,041.74 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $5,495.41 | Professional | None | $2,041.74 | $2,041.74 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $5,011.87 Typical High $9,120.11 | Facility | None | $4,073.80 | $5,011.87 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $5,370.32 | Professional | None | $2,089.30 | $2,238.72 | $5,370.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,584.89 Median $1,698.24 Typical High $2,290.87 | Professional | UE · Used equipment | $1,584.89 | $1,698.24 | $2,290.87 |
CareSource Setting Facility Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $3,890.45 | Facility | None | $1,949.84 | $2,951.21 | $3,890.45 |
CareSource Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,248.07 | Professional | None | $2,511.89 | $3,467.37 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,454.71 | $3,311.31 |
SummaCare Setting Professional Modifier None Typical Low $4,265.80 Median $4,365.16 Typical High $6,760.83 | Professional | None | $4,265.80 | $4,365.16 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,041.74 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,412.54 | $2,089.30 | $3,019.95 |
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 $1,023.29 Median $1,023.29 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $1,096.48 | Professional | 53 · Discontinued | $407.38 | $407.38 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $812.83 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $549.54 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | RR · Rental | $223.87 | $223.87 | $245.47 |
Where Ohio sits
The same service costs 2.5 times more in Montana 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· 33rd of 51
$2,239
MT $4,898DC $1,995
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.