How much rates vary
Facilitymedian $19,498 · 10th to 90th $11,749 to $32,359Professionalmedian $9,120 · 10th to 90th $8,511 to $20,417
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 $8,912.51 Median $8,912.51 Typical High $38,018.94 | Facility | None | $8,912.51 | $8,912.51 | $38,018.94 |
Aetna Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $26,302.68 | Professional | None | $8,912.51 | $8,912.51 | $26,302.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $17,378.01 Median $21,379.62 Typical High $39,810.72 | Facility | None | $17,378.01 | $21,379.62 | $39,810.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,912.51 Median $10,232.93 Typical High $23,442.29 | Professional | None | $8,912.51 | $10,232.93 | $23,442.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6,760.83 Median $7,585.78 Typical High $10,000.00 | Professional | UE · Used equipment | $6,760.83 | $7,585.78 | $10,000.00 |
CareSource Setting Facility Modifier None Typical Low $8,709.64 Median $12,882.50 Typical High $17,378.01 | Facility | None | $8,709.64 | $12,882.50 | $17,378.01 |
CareSource Setting Professional Modifier None Typical Low $11,220.18 Median $15,488.17 Typical High $23,442.29 | Professional | None | $11,220.18 | $15,488.17 | $23,442.29 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
Molina Setting Professional Modifier None Typical Low $11,220.18 Median $15,488.17 Typical High $20,892.96 | Professional | None | $11,220.18 | $15,488.17 | $20,892.96 |
SummaCare Setting Professional Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $29,512.09 | Professional | None | $18,620.87 | $18,620.87 | $29,512.09 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $22,908.68 | Facility | None | $7,585.78 | $8,912.51 | $22,908.68 |
United Setting Professional Modifier None Typical Low $6,025.60 Median $9,120.11 Typical High $13,182.57 | Professional | None | $6,025.60 | $9,120.11 | $13,182.57 |
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 $4,466.84 Median $4,466.84 Typical High $13,182.57 | Professional | 52 · Reduced service | $4,466.84 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,778.28 Median $1,778.28 Typical High $5,248.07 | Professional | 53 · Discontinued | $1,778.28 | $1,778.28 | $5,248.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,318.26 Typical High $3,981.07 | Professional | 55 · Aftercare only | $1,318.26 | $1,318.26 | $3,981.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $891.25 Median $891.25 Typical High $2,630.27 | Professional | 56 · Pre-op care only | $891.25 | $891.25 | $2,630.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | RR · Rental | $1,023.29 | $1,023.29 | $1,122.02 |
Where Ohio sits
The same service costs 2.6 times more in Montana 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· 41st of 51
$10,000
MT $21,878NJ $8,511
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.