How much rates vary
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 $158.49 Median $158.49 Typical High $331.13 | Facility | None | $158.49 | $158.49 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None | $158.49 | $158.49 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $234.42 Typical High $371.54 | Facility | None | $204.17 | $234.42 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | None | $91.20 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | None | $275.42 | $275.42 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $112.20 | Professional | None | $72.44 | $100.00 | $112.20 |
SummaCare Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $218.78 | Professional | None | $147.91 | $186.21 | $218.78 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Facility | None | $245.47 | $245.47 | $346.74 |
United Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $123.03 | Professional | None | $70.79 | $104.71 | $123.03 |
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 $79.43 Median $79.43 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $18.20 |
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 3.3 times more in Alaska than in Indiana. 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· 50th of 51
$105
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.