How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $257.04 Median $257.04 Typical High $602.56 | Facility | None | $257.04 | $257.04 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $257.04 | Professional | None | $79.43 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $39.81 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $16.22 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $12.02 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $7.94 | $25.70 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $102.33 | Professional | None | $60.26 | $72.44 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $1,380.38 Typical High $2,398.83 | Professional | None | $107.15 | $1,380.38 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None | $50.12 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $5,248.07 | Facility | None | $3,235.94 | $3,715.35 | $5,248.07 |
United Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $151.36 | Professional | None | $72.44 | $87.10 | $151.36 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in New York. 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
$81.28
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.