How much rates vary
Facilitymedian $13,490 · 10th to 90th $8,128 to $22,387Professionalmedian $6,310 · 10th to 90th $5,623 to $14,125
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 $6,165.95 Median $6,165.95 Typical High $25,703.96 | Facility | None | $6,165.95 | $6,165.95 | $25,703.96 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $17,782.79 | Professional | None | $6,165.95 | $6,165.95 | $17,782.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $14,791.08 Typical High $27,542.29 | Facility | None | $12,022.64 | $14,791.08 | $27,542.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,309.57 Median $6,456.54 Typical High $16,218.10 | Professional | None | $6,309.57 | $6,456.54 | $16,218.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,677.35 Median $4,786.30 Typical High $6,918.31 | Professional | UE · Used equipment | $4,677.35 | $4,786.30 | $6,918.31 |
CareSource Setting Facility Modifier None Typical Low $5,248.07 Median $7,943.28 Typical High $10,471.29 | Facility | None | $5,248.07 | $7,943.28 | $10,471.29 |
CareSource Setting Professional Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $14,125.38 | Professional | None | $6,918.31 | $9,549.93 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $8,128.31 | Professional | None | $5,888.44 | $5,888.44 | $8,128.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $8,128.31 | Professional | None | $5,888.44 | $5,888.44 | $8,128.31 |
Molina Setting Professional Modifier None Typical Low $7,762.47 Median $10,715.19 Typical High $14,454.40 | Professional | None | $7,762.47 | $10,715.19 | $14,454.40 |
SummaCare Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $20,417.38 | Professional | None | $12,882.50 | $12,882.50 | $20,417.38 |
United Setting Facility Modifier None Typical Low $4,466.84 Median $5,248.07 Typical High $14,454.40 | Facility | None | $4,466.84 | $5,248.07 | $14,454.40 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $6,309.57 Typical High $9,120.11 | Professional | None | $4,168.69 | $6,309.57 | $9,120.11 |
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 $3,090.30 Median $3,090.30 Typical High $8,912.51 | Professional | 52 · Reduced service | $3,090.30 | $3,090.30 | $8,912.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $3,630.78 | Professional | 53 · Discontinued | $1,230.27 | $1,230.27 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $912.01 Median $912.01 Typical High $2,691.53 | Professional | 55 · Aftercare only | $912.01 | $912.01 | $2,691.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $1,778.28 | Professional | 56 · Pre-op care only | $616.60 | $616.60 | $1,778.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | RR · Rental | $645.65 | $645.65 | $691.83 |
Where Ohio sits
The same service costs 2.5 times more in Montana than in West Virginia. 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· 36th of 51
$6,457
MT $14,454WV $5,888
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.