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 $363.08 Median $1,819.70 Typical High $10,232.93 | Facility | Global | $363.08 | $1,819.70 | $10,232.93 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 50 · Both sides | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $194.98 Median $338.84 Typical High $707.95 | Facility | 54 · Surgery only | $194.98 | $338.84 | $707.95 |
Aetna Setting Professional Modifier Global Typical Low $234.42 Median $323.59 Typical High $954.99 | Professional | Global | $234.42 | $323.59 | $954.99 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $426.58 Typical High $954.99 | Professional | 50 · Both sides | $426.58 | $426.58 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | 54 · Surgery only | $169.82 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $42.66 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $42.66 | $52.48 |
Ambetter Setting Professional Modifier Global Typical Low $56.23 Median $218.78 Typical High $363.08 | Professional | Global | $56.23 | $218.78 | $363.08 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 50 · Both sides | $549.54 | $549.54 | $549.54 |
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 $251.19 Median $407.38 Typical High $707.95 | Professional | Global | $251.19 | $407.38 | $707.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $616.60 Typical High $1,047.13 | Professional | 50 · Both sides | $380.19 | $616.60 | $1,047.13 |
Aultcare Setting Professional Modifier Global Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | Global | $229.09 | $229.09 | $338.84 |
CareSource Setting Facility Modifier Global Typical Low $173.78 Median $213.80 Typical High $295.12 | Facility | Global | $173.78 | $213.80 | $295.12 |
CareSource Setting Professional Modifier Global Typical Low $263.03 Median $295.12 Typical High $363.08 | Professional | Global | $263.03 | $295.12 | $363.08 |
Cigna Setting Facility Modifier Global Typical Low $186.21 Median $354.81 Typical High $21,379.62 | Facility | Global | $186.21 | $354.81 | $21,379.62 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $223.87 Median $346.74 Typical High $645.65 | Professional | Global | $223.87 | $346.74 | $645.65 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $186.21 Median $1,000.00 Typical High $21,379.62 | Facility | Global | $186.21 | $1,000.00 | $21,379.62 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $223.87 Median $346.74 Typical High $645.65 | Professional | Global | $223.87 | $346.74 | $645.65 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $181.97 | Professional | Global | $32.36 | $33.11 | $181.97 |
SummaCare Setting Professional Modifier Global Typical Low $213.80 Median $323.59 Typical High $588.84 | Professional | Global | $213.80 | $323.59 | $588.84 |
United Setting Facility Modifier Global Typical Low $416.87 Median $1,445.44 Typical High $3,981.07 | Facility | Global | $416.87 | $1,445.44 | $3,981.07 |
United Setting Professional Modifier Global Typical Low $229.09 Median $338.84 Typical High $549.54 | Professional | Global | $229.09 | $338.84 | $549.54 |
Where Ohio sits
The same service costs 3.4 times more in Wyoming 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· 18th of 51
$427
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.