How much rates vary
Facilitymedian $2,089 · 10th to 90th $269 to $4,786Professionalmedian $214 · 10th to 90th $79 to $676
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 $269.15 Median $2,089.30 Typical High $5,495.41 | Facility | Global | $269.15 | $2,089.30 | $5,495.41 |
Aetna Setting Facility Modifier 22 · Increased work Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 22 · Increased work | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $41.69 Median $134.90 Typical High $295.12 | Facility | 52 · Reduced service | $41.69 | $134.90 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $53.70 Typical High $120.23 | Facility | 53 · Discontinued | $16.98 | $53.70 | $120.23 |
Aetna Setting Professional Modifier Global Typical Low $79.43 Median $229.09 Typical High $1,698.24 | Professional | Global | $79.43 | $229.09 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $104.71 Typical High $162.18 | Professional | 52 · Reduced service | $38.90 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $42.66 Typical High $66.07 | Professional | 53 · Discontinued | $15.49 | $42.66 | $66.07 |
Ambetter Setting Professional Modifier Global Typical Low $72.44 Median $107.15 Typical High $263.03 | Professional | Global | $72.44 | $107.15 | $263.03 |
Anthem BCBS Setting Facility Modifier Global Typical Low $707.95 Median $1,995.26 Typical High $3,981.07 | Facility | Global | $707.95 | $1,995.26 | $3,981.07 |
Anthem BCBS Setting Professional Modifier Global Typical Low $95.50 Median $199.53 Typical High $331.13 | Professional | Global | $95.50 | $199.53 | $331.13 |
CareSource Setting Facility Modifier Global Typical Low $75.86 Median $87.10 Typical High $104.71 | Facility | Global | $75.86 | $87.10 | $104.71 |
CareSource Setting Professional Modifier Global Typical Low $239.88 Median $251.19 Typical High $269.15 | Professional | Global | $239.88 | $251.19 | $269.15 |
Cigna Setting Facility Modifier Global Typical Low $67.61 Median $128.82 Typical High $21,379.62 | Facility | Global | $67.61 | $128.82 | $21,379.62 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 22 · Increased work | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier Global Typical Low $91.20 Median $208.93 Typical High $380.19 | Professional | Global | $91.20 | $208.93 | $380.19 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $891.25 Median $1,698.24 Typical High $3,981.07 | Facility | Global | $891.25 | $1,698.24 | $3,981.07 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $89.13 Median $204.17 Typical High $371.54 | Professional | Global | $89.13 | $204.17 | $371.54 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $48.98 | Professional | Global | $32.36 | $33.11 | $48.98 |
SummaCare Setting Professional Modifier Global Typical Low $77.62 Median $213.80 Typical High $346.74 | Professional | Global | $77.62 | $213.80 | $346.74 |
United Setting Facility Modifier Global Typical Low $524.81 Median $1,513.56 Typical High $3,981.07 | Facility | Global | $524.81 | $1,513.56 | $3,981.07 |
United Setting Professional Modifier Global Typical Low $83.18 Median $181.97 Typical High $331.13 | Professional | Global | $83.18 | $181.97 | $331.13 |
Where Ohio sits
The same service costs 2.3 times more in Wisconsin than in West Virginia. 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· 5th of 51
$339
WI $457WV $200
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.