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 26 · Professional part Typical Low $17.38 Median $27.54 Typical High $56.23 | Facility | 26 · Professional part | $17.38 | $27.54 | $56.23 |
Aetna Setting Professional Modifier Global Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | Global | $46.77 | $61.66 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $38.02 | Professional | 26 · Professional part | $16.22 | $18.62 | $38.02 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 50 · Both sides | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $30.20 Typical High $38.90 | Professional | 52 · Reduced service | $23.44 | $30.20 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $43.65 | $69.18 |
Ambetter Setting Professional Modifier Global Typical Low $54.95 Median $57.54 Typical High $64.57 | Professional | Global | $54.95 | $57.54 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $25.12 | $27.54 |
Anthem BCBS Setting Professional Modifier Global Typical Low $50.12 Median $67.61 Typical High $107.15 | Professional | Global | $50.12 | $67.61 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $20.89 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $45.71 | $75.86 |
Aultcare Setting Professional Modifier Global Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | Global | $109.65 | $109.65 | $120.23 |
Aultcare Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $32.36 | $32.36 | $36.31 |
Aultcare Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $77.62 | $77.62 | $85.11 |
CareSource Setting Professional Modifier Global Typical Low $19.95 Median $45.71 Typical High $74.13 | Professional | Global | $19.95 | $45.71 | $74.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $4.57 Median $21.38 Typical High $30.90 | Facility | 26 · Professional part | $4.57 | $21.38 | $30.90 |
Cigna Setting Professional Modifier Global Typical Low $52.48 Median $75.86 Typical High $138.04 | Professional | Global | $52.48 | $75.86 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $16.22 | $23.99 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $36.31 | $51.29 | $95.50 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $50.12 Median $75.86 Typical High $120.23 | Professional | Global | $50.12 | $75.86 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $14.79 | $23.99 | $47.86 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $36.31 | $51.29 | $83.18 |
Molina Setting Professional Modifier Global Typical Low $23.44 Median $32.36 Typical High $33.11 | Professional | Global | $23.44 | $32.36 | $33.11 |
SummaCare Setting Professional Modifier Global Typical Low $56.23 Median $69.18 Typical High $138.04 | Professional | Global | $56.23 | $69.18 | $138.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $21.88 | $41.69 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $37.15 | $48.98 | $97.72 |
United Setting Professional Modifier Global Typical Low $51.29 Median $72.44 Typical High $131.83 | Professional | Global | $51.29 | $72.44 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $45.71 | Professional | 26 · Professional part | $15.85 | $22.39 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $46.77 | $83.18 |
Where Ohio sits
The same service costs 2.5 times more in South Dakota than in Kentucky. 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· 36th of 51
$63.10
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.