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 $125.89 Median $575.44 Typical High $4,786.30 | Facility | Global | $125.89 | $575.44 | $4,786.30 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $58.88 Typical High $147.91 | Facility | 52 · Reduced service | $33.11 | $58.88 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $23.44 Typical High $58.88 | Facility | 53 · Discontinued | $13.18 | $23.44 | $58.88 |
Aetna Setting Professional Modifier Global Typical Low $74.13 Median $123.03 Typical High $234.42 | Professional | Global | $74.13 | $123.03 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $48.98 Typical High $77.62 | Professional | 52 · Reduced service | $30.90 | $48.98 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $19.50 Typical High $36.31 | Professional | 53 · Discontinued | $12.30 | $19.50 | $36.31 |
Ambetter Setting Professional Modifier Global Typical Low $70.79 Median $93.33 Typical High $131.83 | Professional | Global | $70.79 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | 52 · Reduced service | $21.38 | $21.38 | $27.54 |
Anthem BCBS Setting Facility Modifier Global Typical Low $707.95 Median $2,137.96 Typical High $3,981.07 | Facility | Global | $707.95 | $2,137.96 | $3,981.07 |
Anthem BCBS Setting Professional Modifier Global Typical Low $72.44 Median $109.65 Typical High $190.55 | Professional | Global | $72.44 | $109.65 | $190.55 |
CareSource Setting Facility Modifier Global Typical Low $60.26 Median $69.18 Typical High $81.28 | Facility | Global | $60.26 | $69.18 | $81.28 |
CareSource Setting Professional Modifier Global Typical Low $112.20 Median $117.49 Typical High $125.89 | Professional | Global | $112.20 | $117.49 | $125.89 |
Cigna Setting Facility Modifier Global Typical Low $97.72 Median $97.72 Typical High $21,379.62 | Facility | Global | $97.72 | $97.72 | $21,379.62 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier Global Typical Low $74.13 Median $123.03 Typical High $199.53 | Professional | Global | $74.13 | $123.03 | $199.53 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $199.53 Median $346.74 Typical High $478.63 | Facility | Global | $199.53 | $346.74 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $72.44 Median $125.89 Typical High $204.17 | Professional | Global | $72.44 | $125.89 | $204.17 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $56.23 | Professional | Global | $32.36 | $33.11 | $56.23 |
SummaCare Setting Professional Modifier Global Typical Low $60.26 Median $102.33 Typical High $177.83 | Professional | Global | $60.26 | $102.33 | $177.83 |
United Setting Facility Modifier Global Typical Low $151.36 Median $707.95 Typical High $2,818.38 | Facility | Global | $151.36 | $707.95 | $2,818.38 |
United Setting Professional Modifier Global Typical Low $66.07 Median $104.71 Typical High $165.96 | Professional | Global | $66.07 | $104.71 | $165.96 |
Where Ohio sits
The same service costs 3.7 times more in Wisconsin than in Maine. 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· 24th of 51
$155
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.