How much rates vary
Facilitymedian $851 · 10th to 90th $708 to $1,549Professionalmedian $525 · 10th to 90th $355 to $851
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 $389.05 Median $389.05 Typical High $1,737.80 | Facility | None | $389.05 | $389.05 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,202.26 | Professional | None | $389.05 | $389.05 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $1,737.80 | Facility | None | $758.58 | $933.25 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $1,023.29 | Professional | None | $389.05 | $478.63 | $1,023.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $316.23 Typical High $446.68 | Professional | UE · Used equipment | $288.40 | $316.23 | $446.68 |
Aultcare Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $794.33 | Facility | None | $398.11 | $588.84 | $794.33 |
CareSource Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $1,071.52 | Professional | None | $512.86 | $707.95 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $630.96 | Professional | None | $338.84 | $467.74 | $630.96 |
SummaCare Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,288.25 | Professional | None | $812.83 | $831.76 | $1,288.25 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,071.52 | Facility | None | $398.11 | $398.11 | $1,071.52 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $602.56 | Professional | None | $263.03 | $398.11 | $602.56 |
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 $194.98 Median $194.98 Typical High $602.56 | Professional | 52 · Reduced service | $194.98 | $194.98 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $239.88 | Professional | 53 · Discontinued | $77.62 | $77.62 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $181.97 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $120.23 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $120.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | RR · Rental | $60.26 | $60.26 | $61.66 |
Where Ohio sits
The same service costs 2.0 times more in Iowa 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· 41st of 51
$575
IA $891FL $447
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.