How much rates vary
Facilitymedian $398 · 10th to 90th $178 to $661Professionalmedian $182 · 10th to 90th $129 to $380
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 $181.97 Median $181.97 Typical High $758.58 | Facility | None | $181.97 | $181.97 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $562.34 | Professional | None | $181.97 | $181.97 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $436.52 Typical High $812.83 | Facility | None | $354.81 | $436.52 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $416.87 | Professional | None | $169.82 | $181.97 | $416.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $134.90 Typical High $194.98 | Professional | UE · Used equipment | $125.89 | $134.90 | $194.98 |
Aultcare Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
CareSource Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $275.42 | Facility | None | $138.04 | $208.93 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Professional | None | $181.97 | $251.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $295.12 | Professional | None | $158.49 | $218.78 | $295.12 |
SummaCare Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $602.56 | Professional | None | $380.19 | $389.05 | $602.56 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $380.19 | Facility | None | $186.21 | $208.93 | $380.19 |
United Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $269.15 | Professional | None | $123.03 | $186.21 | $269.15 |
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 $91.20 Median $91.20 Typical High $263.03 | Professional | 52 · Reduced service | $91.20 | $91.20 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $107.15 | Professional | 53 · Discontinued | $36.31 | $36.31 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $79.43 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $52.48 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $52.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | RR · Rental | $16.98 | $16.98 | $18.20 |
Where Ohio sits
The same service costs 3.5 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· 28th of 51
$182
HI $447DE $129
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.