How much rates vary
Facilitymedian $5,888 · 10th to 90th $3,548 to $9,772Professionalmedian $2,754 · 10th to 90th $2,344 to $5,888
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 $2,691.53 Median $2,691.53 Typical High $13,182.57 | Facility | None | $2,691.53 | $2,691.53 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $9,120.11 | Professional | None | $2,691.53 | $2,691.53 | $9,120.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $6,456.54 Typical High $12,022.64 | Facility | None | $5,248.07 | $6,456.54 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $7,079.46 | Professional | None | $2,754.23 | $2,818.38 | $7,079.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,089.30 Typical High $2,884.03 | Professional | UE · Used equipment | $2,041.74 | $2,089.30 | $2,884.03 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $4,677.35 | Facility | None | $2,344.23 | $3,548.13 | $4,677.35 |
CareSource Setting Professional Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $6,309.57 | Professional | None | $3,019.95 | $4,168.69 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $4,265.80 | Professional | None | $2,290.87 | $3,162.28 | $4,265.80 |
SummaCare Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $8,709.64 | Professional | None | $5,623.41 | $5,623.41 | $8,709.64 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,890.45 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $3,981.07 | Professional | None | $1,819.70 | $2,754.23 | $3,981.07 |
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 $1,318.26 Median $1,318.26 Typical High $4,570.88 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $1,819.70 | Professional | 53 · Discontinued | $537.03 | $537.03 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $1,348.96 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $912.01 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | RR · Rental | $281.84 | $281.84 | $302.00 |
Where Ohio sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$2,818
HI $7,413PA $2,455
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.