How much rates vary
Facilitymedian $46 · 10th to 90th $28 to $100Professionalmedian $45 · 10th to 90th $26 to $89
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 $27.54 Median $45.71 Typical High $100.00 | Facility | Global | $27.54 | $45.71 | $100.00 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $28.18 Median $48.98 Typical High $102.33 | Facility | 25 · Same-day visit | $28.18 | $48.98 | $102.33 |
Aetna Setting Professional Modifier Global Typical Low $25.70 Median $44.67 Typical High $91.20 | Professional | Global | $25.70 | $44.67 | $91.20 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $34.67 Median $60.26 Typical High $112.20 | Professional | 25 · Same-day visit | $34.67 | $60.26 | $112.20 |
Ambetter Setting Professional Modifier Global Typical Low $30.20 Median $52.48 Typical High $74.13 | Professional | Global | $30.20 | $52.48 | $74.13 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $36.31 Median $54.95 Typical High $74.13 | Professional | 25 · Same-day visit | $36.31 | $54.95 | $74.13 |
Anthem BCBS Setting Professional Modifier Global Typical Low $26.30 Median $39.81 Typical High $67.61 | Professional | Global | $26.30 | $39.81 | $67.61 |
Aultcare Setting Professional Modifier Global Typical Low $30.90 Median $56.23 Typical High $85.11 | Professional | Global | $30.90 | $56.23 | $85.11 |
CareSource Setting Facility Modifier Global Typical Low $27.54 Median $36.31 Typical High $45.71 | Facility | Global | $27.54 | $36.31 | $45.71 |
CareSource Setting Professional Modifier Global Typical Low $51.29 Median $56.23 Typical High $74.13 | Professional | Global | $51.29 | $56.23 | $74.13 |
Cigna Setting Facility Modifier Global Typical Low $30.90 Median $109.65 Typical High $165.96 | Facility | Global | $30.90 | $109.65 | $165.96 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 22 · Increased work | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 62 · Two surgeons | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | AS · PA/NP assist | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier Global Typical Low $28.84 Median $47.86 Typical High $89.13 | Professional | Global | $28.84 | $47.86 | $89.13 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $54.95 Median $144.54 Typical High $281.84 | Facility | Global | $54.95 | $144.54 | $281.84 |
Medical Mutual of Ohio Setting Facility Modifier 22 · Increased work Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 22 · Increased work | $64.57 | $64.57 | $64.57 |
Medical Mutual of Ohio Setting Facility Modifier 62 · Two surgeons Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 62 · Two surgeons | $33.88 | $33.88 | $33.88 |
Medical Mutual of Ohio Setting Facility Modifier AS · PA/NP assist Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | AS · PA/NP assist | $5.37 | $5.37 | $5.37 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $30.20 Median $51.29 Typical High $77.62 | Professional | Global | $30.20 | $51.29 | $77.62 |
Molina Setting Professional Modifier Global Typical Low $19.95 Median $33.11 Typical High $63.10 | Professional | Global | $19.95 | $33.11 | $63.10 |
Optum Setting Professional Modifier Global Typical Low $39.81 Median $52.48 Typical High $95.50 | Professional | Global | $39.81 | $52.48 | $95.50 |
SummaCare Setting Professional Modifier Global Typical Low $33.88 Median $48.98 Typical High $75.86 | Professional | Global | $33.88 | $48.98 | $75.86 |
United Setting Facility Modifier Global Typical Low $34.67 Median $69.18 Typical High $173.78 | Facility | Global | $34.67 | $69.18 | $173.78 |
United Setting Professional Modifier Global Typical Low $23.99 Median $43.65 Typical High $95.50 | Professional | Global | $23.99 | $43.65 | $95.50 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $54.95 Median $75.86 Typical High $89.13 | Professional | 25 · Same-day visit | $54.95 | $75.86 | $89.13 |
Where Ohio sits
The same service costs 1.6 times more in Minnesota than in Washington, DC. 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· 38th of 51
$44.67
MN $63.10DC $38.90
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.