How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,122 to $4,169Professionalmedian $1,175 · 10th to 90th $832 to $2,512
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 $1,148.15 Median $1,148.15 Typical High $5,011.87 | Facility | None | $1,148.15 | $1,148.15 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $3,467.37 | Professional | None | $1,148.15 | $1,148.15 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $5,128.61 | Facility | None | $2,238.72 | $2,754.23 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,174.90 | $3,019.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $870.96 Typical High $1,202.26 | Professional | UE · Used equipment | $831.76 | $870.96 | $1,202.26 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,621.81 | $2,137.96 |
CareSource Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,949.84 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,380.38 | $1,862.09 |
SummaCare Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,801.89 | Professional | None | $2,398.83 | $2,398.83 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,202.26 | $2,454.71 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,698.24 | Professional | None | $776.25 | $1,174.90 | $1,698.24 |
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 $575.44 Median $575.44 Typical High $1,737.80 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $691.83 | Professional | 53 · Discontinued | $229.09 | $229.09 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $524.81 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $346.74 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $346.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | RR · Rental | $109.65 | $109.65 | $120.23 |
Where Ohio sits
The same service costs 3.1 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
$1,175
HI $2,692DE $871
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.