How much rates vary
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 $467.74 Median $467.74 Typical High $2,089.30 | Facility | None | $467.74 | $467.74 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,445.44 | Professional | None | $467.74 | $467.74 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,122.02 Typical High $2,089.30 | Facility | None | $912.01 | $1,122.02 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $1,071.52 | Professional | None | $478.63 | $512.86 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $380.19 Typical High $512.86 | Professional | UE · Used equipment | $354.81 | $380.19 | $512.86 |
Aultcare Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $851.14 | Facility | None | $426.58 | $645.65 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,148.15 | Professional | None | $549.54 | $776.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,023.29 | Professional | None | $549.54 | $758.58 | $1,023.29 |
SummaCare Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,513.56 | Professional | None | $977.24 | $977.24 | $1,513.56 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,318.26 | Facility | None | $933.25 | $933.25 | $1,318.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $691.83 | Professional | None | $316.23 | $478.63 | $691.83 |
3 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 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $218.78 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $144.54 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $144.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | RR · Rental | $51.29 | $51.29 | $54.95 |
Where Ohio sits
The same service costs 3.2 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· 34th of 51
$513
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.