How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $1,905.46 Median $7,762.47 Typical High $14,125.38 | Facility | Global | $1,905.46 | $7,762.47 | $14,125.38 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $2,290.87 Median $50,118.72 Typical High $50,118.72 | Facility | 50 · Both sides | $2,290.87 | $50,118.72 | $50,118.72 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $1,288.25 Typical High $2,398.83 | Facility | 52 · Reduced service | $707.95 | $1,288.25 | $2,398.83 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,818.38 Median $11,481.54 Typical High $25,703.96 | Facility | Global | $2,818.38 | $11,481.54 | $25,703.96 |
CareSource Setting Facility Modifier Global Typical Low $1,380.38 Median $1,445.44 Typical High $1,659.59 | Facility | Global | $1,380.38 | $1,445.44 | $1,659.59 |
Cigna Setting Facility Modifier Global Typical Low $2,238.72 Median $2,238.72 Typical High $21,379.62 | Facility | Global | $2,238.72 | $2,238.72 | $21,379.62 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | 22 · Increased work | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 62 · Two surgeons | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | AS · PA/NP assist | $223.87 | $223.87 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $21,379.62 Median $22,908.68 Typical High $22,908.68 | Facility | Global | $21,379.62 | $22,908.68 | $22,908.68 |
United Setting Facility Modifier Global Typical Low $2,570.40 Median $3,801.89 Typical High $6,606.93 | Facility | Global | $2,570.40 | $3,801.89 | $6,606.93 |
Where Ohio sits
The same service costs 38.9 times more in West Virginia than in Maryland. 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· 10th of 50
$7,943
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.