How much rates vary
Facilitymedian $63 · 10th to 90th $43 to $120Professionalmedian $78 · 10th to 90th $48 to $148
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 $42.66 Median $60.26 Typical High $120.23 | Facility | Global | $42.66 | $60.26 | $120.23 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $9.55 Median $47.86 Typical High $104.71 | Facility | 25 · Same-day visit | $9.55 | $47.86 | $104.71 |
Aetna Setting Professional Modifier Global Typical Low $46.77 Median $77.62 Typical High $154.88 | Professional | Global | $46.77 | $77.62 | $154.88 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $53.70 Median $89.13 Typical High $177.83 | Professional | 25 · Same-day visit | $53.70 | $89.13 | $177.83 |
Ambetter Setting Professional Modifier Global Typical Low $53.70 Median $79.43 Typical High $117.49 | Professional | Global | $53.70 | $79.43 | $117.49 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $63.10 Median $91.20 Typical High $120.23 | Professional | 25 · Same-day visit | $63.10 | $91.20 | $120.23 |
Anthem BCBS Setting Professional Modifier Global Typical Low $47.86 Median $67.61 Typical High $112.20 | Professional | Global | $47.86 | $67.61 | $112.20 |
Aultcare Setting Professional Modifier Global Typical Low $54.95 Median $91.20 Typical High $138.04 | Professional | Global | $54.95 | $91.20 | $138.04 |
CareSource Setting Facility Modifier Global Typical Low $52.48 Median $69.18 Typical High $85.11 | Facility | Global | $52.48 | $69.18 | $85.11 |
CareSource Setting Professional Modifier Global Typical Low $83.18 Median $91.20 Typical High $120.23 | Professional | Global | $83.18 | $91.20 | $120.23 |
Cigna Setting Facility Modifier Global Typical Low $81.28 Median $120.23 Typical High $165.96 | Facility | Global | $81.28 | $120.23 | $165.96 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 22 · Increased work | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 62 · Two surgeons | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | AS · PA/NP assist | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier Global Typical Low $51.29 Median $81.28 Typical High $144.54 | Professional | Global | $51.29 | $81.28 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $66.07 Median $109.65 Typical High $181.97 | Facility | Global | $66.07 | $109.65 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier 22 · Increased work Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 22 · Increased work | $123.03 | $123.03 | $123.03 |
Medical Mutual of Ohio Setting Facility Modifier 62 · Two surgeons Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 62 · Two surgeons | $63.10 | $63.10 | $63.10 |
Medical Mutual of Ohio Setting Facility Modifier AS · PA/NP assist Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | AS · PA/NP assist | $10.23 | $10.23 | $10.23 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $57.54 Median $91.20 Typical High $128.82 | Professional | Global | $57.54 | $91.20 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 50 · Both sides | $288.40 | $288.40 | $288.40 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $63.10 | Professional | Global | $32.36 | $33.11 | $63.10 |
Optum Setting Professional Modifier Global Typical Low $41.69 Median $85.11 Typical High $147.91 | Professional | Global | $41.69 | $85.11 | $147.91 |
SummaCare Setting Professional Modifier Global Typical Low $63.10 Median $87.10 Typical High $123.03 | Professional | Global | $63.10 | $87.10 | $123.03 |
United Setting Facility Modifier Global Typical Low $44.67 Median $100.00 Typical High $186.21 | Facility | Global | $44.67 | $100.00 | $186.21 |
United Setting Professional Modifier Global Typical Low $44.67 Median $75.86 Typical High $144.54 | Professional | Global | $44.67 | $75.86 | $144.54 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $89.13 Typical High $120.23 | Professional | 25 · Same-day visit | $75.86 | $89.13 | $120.23 |
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· 36th of 51
$77.62
MN $97.72DC $61.66
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.