How much rates vary
Facilitymedian $295 · 10th to 90th $158 to $490Professionalmedian $132 · 10th to 90th $120 to $282
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 $131.83 Median $208.93 Typical High $524.81 | Facility | None | $131.83 | $208.93 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $363.08 | Professional | None | $131.83 | $131.83 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $323.59 Typical High $588.84 | Facility | None | $263.03 | $323.59 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $354.81 | Professional | None | $131.83 | $162.18 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $112.20 Typical High $144.54 | Professional | UE · Used equipment | $100.00 | $112.20 | $144.54 |
Aultcare Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $275.42 | Facility | None | $138.04 | $204.17 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $371.54 | Professional | None | $177.83 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $169.82 | Facility | None | $107.15 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $169.82 | Facility | None | $107.15 | $169.82 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $213.80 | Professional | None | $114.82 | $158.49 | $213.80 |
SummaCare Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $436.52 | Professional | None | $275.42 | $281.84 | $436.52 |
United Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $331.13 | Facility | None | $112.20 | $125.89 | $331.13 |
United Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $213.80 | Professional | None | $91.20 | $134.90 | $213.80 |
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 $66.07 Median $66.07 Typical High $181.97 | Professional | 52 · Reduced service | $66.07 | $66.07 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $72.44 | Professional | 53 · Discontinued | $26.92 | $26.92 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $54.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $36.31 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $36.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | RR · Rental | $18.20 | $18.20 | $19.05 |
Where Ohio sits
The same service costs 2.7 times more in Kansas 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· 45th of 51
$145
KS $339DE $126
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.