How much rates vary
Facilitymedian $3,981 · 10th to 90th $2,399 to $6,607Professionalmedian $1,820 · 10th to 90th $1,698 to $3,981
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 $1,778.28 Median $1,778.28 Typical High $6,760.83 | Facility | None | $1,778.28 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $4,677.35 | Professional | None | $1,778.28 | $1,778.28 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,365.16 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,365.16 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,089.30 | $4,677.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $1,548.82 Typical High $1,949.84 | Professional | UE · Used equipment | $1,380.38 | $1,548.82 | $1,949.84 |
CareSource Setting Facility Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,388.44 | Facility | None | $1,698.24 | $2,511.89 | $3,388.44 |
CareSource Setting Professional Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $4,570.88 | Professional | None | $2,187.76 | $3,019.95 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $4,265.80 | Professional | None | $2,290.87 | $3,162.28 | $4,265.80 |
SummaCare Setting Professional Modifier None Typical Low $3,715.35 Median $3,801.89 Typical High $5,888.44 | Professional | None | $3,715.35 | $3,801.89 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,819.70 | $2,630.27 |
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 $891.25 Median $891.25 Typical High $2,344.23 | Professional | 52 · Reduced service | $891.25 | $891.25 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $933.25 | Professional | 53 · Discontinued | $354.81 | $354.81 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $691.83 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $467.74 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | RR · Rental | $208.93 | $208.93 | $223.87 |
Where Ohio sits
The same service costs 2.2 times more in Arkansas 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· 37th of 51
$2,042
AR $3,890DE $1,738
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.