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 $389.05 Median $389.05 Typical High $1,819.70 | Facility | None | $389.05 | $389.05 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,258.93 | Professional | None | $389.05 | $389.05 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $1,737.80 | Facility | None | $758.58 | $933.25 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $891.25 | Professional | None | $398.11 | $426.58 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $316.23 Typical High $416.87 | Professional | UE · Used equipment | $295.12 | $316.23 | $416.87 |
Aultcare Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $707.95 | Facility | None | $354.81 | $537.03 | $707.95 |
CareSource Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $954.99 | Professional | None | $457.09 | $645.65 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $851.14 | Professional | None | $457.09 | $630.96 | $851.14 |
SummaCare Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,288.25 | Professional | None | $812.83 | $812.83 | $1,288.25 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,096.48 | Facility | None | $776.25 | $776.25 | $1,096.48 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $575.44 | Professional | None | $263.03 | $398.11 | $575.44 |
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 $57.54 Median $57.54 Typical High $190.55 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $125.89 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | RR · Rental | $42.66 | $42.66 | $45.71 |
Where Ohio sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 32nd of 51
$427
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.