How much rates vary
Facilitymedian $251 · 10th to 90th $209 to $457Professionalmedian $95 · 10th to 90th $89 to $166
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 $165.96 Median $457.09 Typical High $562.34 | Facility | None | $165.96 | $457.09 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $173.78 | Professional | None | $158.49 | $165.96 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $389.05 | Facility | None | $213.80 | $245.47 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | None | $95.50 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Aultcare Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | None | $234.42 | $234.42 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $162.18 | Professional | None | $91.20 | $112.20 | $162.18 |
SummaCare Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | None | $194.98 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $295.12 | Facility | None | $208.93 | $208.93 | $295.12 |
United Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $128.82 | Professional | None | $60.26 | $109.65 | $128.82 |
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 $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $31.62 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $25.12 Typical High $25.70 | Professional | 55 · Aftercare only | $23.99 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $16.60 Typical High $16.98 | Professional | 56 · Pre-op care only | $15.85 | $16.60 | $16.98 |
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 2.6 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
$95.50
MN $229UT $89.13
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.