How much rates vary
Facilitymedian $20,893 · 10th to 90th $12,589 to $34,674Professionalmedian $9,772 · 10th to 90th $9,120 to $21,380
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 $9,549.93 Median $9,549.93 Typical High $41,686.94 | Facility | None | $9,549.93 | $9,549.93 | $41,686.94 |
Aetna Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $28,840.32 | Professional | None | $9,549.93 | $9,549.93 | $28,840.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,620.87 Median $22,908.68 Typical High $42,657.95 | Facility | None | $18,620.87 | $22,908.68 | $42,657.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $9,772.37 Median $10,715.19 Typical High $25,118.86 | Professional | None | $9,772.37 | $10,715.19 | $25,118.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,244.36 Median $7,943.28 Typical High $10,471.29 | Professional | UE · Used equipment | $7,244.36 | $7,943.28 | $10,471.29 |
CareSource Setting Facility Modifier None Typical Low $9,120.11 Median $13,489.63 Typical High $18,197.01 | Facility | None | $9,120.11 | $13,489.63 | $18,197.01 |
CareSource Setting Professional Modifier None Typical Low $11,748.98 Median $16,218.10 Typical High $24,547.09 | Professional | None | $11,748.98 | $16,218.10 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
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 $19,952.62 Median $19,952.62 Typical High $31,622.78 | Professional | None | $19,952.62 | $19,952.62 | $31,622.78 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $23,988.33 | Facility | None | $7,943.28 | $9,332.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $6,456.54 Median $9,772.37 Typical High $14,125.38 | Professional | None | $6,456.54 | $9,772.37 | $14,125.38 |
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 $4,786.30 Median $4,786.30 Typical High $14,454.40 | Professional | 52 · Reduced service | $4,786.30 | $4,786.30 | $14,454.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,905.46 Median $1,905.46 Typical High $5,754.40 | Professional | 53 · Discontinued | $1,905.46 | $1,905.46 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,412.54 Median $1,412.54 Typical High $4,365.16 | Professional | 55 · Aftercare only | $1,412.54 | $1,412.54 | $4,365.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $954.99 Median $954.99 Typical High $2,884.03 | Professional | 56 · Pre-op care only | $954.99 | $954.99 | $2,884.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | RR · Rental | $1,071.52 | $1,071.52 | $1,148.15 |
Where Ohio sits
The same service costs 2.5 times more in Montana than in Florida. 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· 38th of 51
$10,715
MT $22,387FL $9,120
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.