How much rates vary
Facilitymedian $324 · 10th to 90th $251 to $589Professionalmedian $126 · 10th to 90th $107 to $214
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 $213.80 Median $588.84 Typical High $724.44 | Facility | None | $213.80 | $588.84 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $218.78 | Professional | None | $181.97 | $213.80 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $501.19 | Facility | None | $275.42 | $323.59 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Aultcare Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | None | $281.84 | $281.84 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $117.49 | Professional | None | $66.07 | $81.28 | $117.49 |
SummaCare Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $295.12 | Professional | None | $204.17 | $251.19 | $295.12 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Facility | None | $251.19 | $251.19 | $354.81 |
United Setting Professional Modifier None Typical Low $72.44 Median $141.25 Typical High $165.96 | Professional | None | $72.44 | $141.25 | $165.96 |
7 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 $93.33 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $21.38 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Ohio sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 43rd of 51
$126
MN $295UT $107
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.