How much rates vary
Facilitymedian $6 · 10th to 90th $4 to $17Professionalmedian $2 · 10th to 90th $2 to $6
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $3.80 Median $8.51 Typical High $16.98 | Facility | None | $3.80 | $8.51 | $16.98 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.82 Median $4.17 Typical High $12.88 | Facility | 52 · Reduced service | $1.82 | $4.17 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.72 Median $1.70 Typical High $5.13 | Facility | 53 · Discontinued | $0.72 | $1.70 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $61.66 | Professional | None | $3.09 | $3.47 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.82 Typical High $47.86 | Professional | 52 · Reduced service | $1.51 | $1.82 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.72 Typical High $19.05 | Professional | 53 · Discontinued | $0.62 | $0.72 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $4.47 Typical High $7.08 | Facility | None | $3.09 | $4.47 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $4.79 | Professional | None | $1.91 | $2.00 | $4.79 |
Aultcare Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $4.37 | Facility | None | $2.63 | $2.63 | $4.37 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $4.57 Typical High $30.20 | Facility | None | $2.63 | $4.57 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.45 Typical High $5.62 | Professional | None | $2.00 | $2.45 | $5.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2.57 Median $5.50 Typical High $61.66 | Facility | None | $2.57 | $5.50 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.00 Median $2.51 Typical High $5.37 | Professional | None | $2.00 | $2.51 | $5.37 |
Molina Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $4.57 | Professional | None | $2.09 | $2.88 | $4.57 |
SummaCare Setting Facility Modifier None Typical Low $309.03 Median $331.13 Typical High $478.63 | Facility | None | $309.03 | $331.13 | $478.63 |
SummaCare Setting Professional Modifier None Typical Low $2.51 Median $3.24 Typical High $4.57 | Professional | None | $2.51 | $3.24 | $4.57 |
United Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,230.27 | Facility | None | $741.31 | $851.14 | $1,230.27 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.69 Typical High $5.50 | Professional | None | $1.62 | $2.69 | $5.50 |
Where Ohio sits
The same service costs 4.2 times more in Kansas 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· 45th of 51
$3.16
KS $12.02MD $2.88
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.