How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,259 to $3,467Professionalmedian $977 · 10th to 90th $912 to $2,188
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 $954.99 Median $954.99 Typical High $4,570.88 | Facility | None | $954.99 | $954.99 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $3,162.28 | Professional | None | $954.99 | $954.99 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,862.09 | $2,290.87 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $2,511.89 | Professional | None | $977.24 | $1,174.90 | $2,511.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $794.33 Typical High $1,047.13 | Professional | UE · Used equipment | $724.44 | $794.33 | $1,047.13 |
CareSource Setting Facility Modifier None Typical Low $977.24 Median $1,445.44 Typical High $1,949.84 | Facility | None | $977.24 | $1,445.44 | $1,949.84 |
CareSource Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,737.80 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,698.24 | $2,290.87 |
SummaCare Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,995.26 | $1,995.26 | $3,162.28 |
United Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $2,630.27 | Facility | None | $691.83 | $977.24 | $2,630.27 |
United Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,479.11 | Professional | None | $645.65 | $977.24 | $1,479.11 |
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 $478.63 Median $478.63 Typical High $1,584.89 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $630.96 | Professional | 53 · Discontinued | $190.55 | $190.55 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $467.74 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $316.23 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | RR · Rental | $117.49 | $117.49 | $128.82 |
Where Ohio sits
The same service costs 2.5 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· 40th of 51
$1,072
AR $2,239DE $912
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.