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 $33.11 Median $38.90 Typical High $117.49 | Facility | Global | $33.11 | $38.90 | $117.49 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 25 · Same-day visit | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier Global Typical Low $29.51 Median $48.98 Typical High $97.72 | Professional | Global | $29.51 | $48.98 | $97.72 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $35.48 Median $61.66 Typical High $107.15 | Professional | 25 · Same-day visit | $35.48 | $61.66 | $107.15 |
Ambetter Setting Professional Modifier Global Typical Low $37.15 Median $47.86 Typical High $66.07 | Professional | Global | $37.15 | $47.86 | $66.07 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $38.90 Median $50.12 Typical High $66.07 | Professional | 25 · Same-day visit | $38.90 | $50.12 | $66.07 |
Anthem BCBS Setting Professional Modifier Global Typical Low $35.48 Median $46.77 Typical High $67.61 | Professional | Global | $35.48 | $46.77 | $67.61 |
Aultcare Setting Professional Modifier Global Typical Low $47.86 Median $50.12 Typical High $67.61 | Professional | Global | $47.86 | $50.12 | $67.61 |
CareSource Setting Facility Modifier Global Typical Low $45.71 Median $53.70 Typical High $63.10 | Facility | Global | $45.71 | $53.70 | $63.10 |
CareSource Setting Professional Modifier Global Typical Low $45.71 Median $63.10 Typical High $75.86 | Professional | Global | $45.71 | $63.10 | $75.86 |
Cigna Setting Facility Modifier Global Typical Low $32.36 Median $45.71 Typical High $61.66 | Facility | Global | $32.36 | $45.71 | $61.66 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 22 · Increased work | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | AS · PA/NP assist | $6.17 | $6.17 | $6.17 |
Cigna Setting Professional Modifier Global Typical Low $36.31 Median $53.70 Typical High $83.18 | Professional | Global | $36.31 | $53.70 | $83.18 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | Global | $75.86 | $75.86 | $75.86 |
Medical Mutual of Ohio Setting Facility Modifier 22 · Increased work Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 22 · Increased work | $91.20 | $91.20 | $91.20 |
Medical Mutual of Ohio Setting Facility Modifier AS · PA/NP assist Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | AS · PA/NP assist | $7.59 | $7.59 | $7.59 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $36.31 Median $52.48 Typical High $85.11 | Professional | Global | $36.31 | $52.48 | $85.11 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | Global | $32.36 | $32.36 | $33.11 |
Optum Setting Professional Modifier Global Typical Low $47.86 Median $50.12 Typical High $61.66 | Professional | Global | $47.86 | $50.12 | $61.66 |
SummaCare Setting Professional Modifier Global Typical Low $43.65 Median $56.23 Typical High $83.18 | Professional | Global | $43.65 | $56.23 | $83.18 |
United Setting Facility Modifier Global Typical Low $43.65 Median $83.18 Typical High $83.18 | Facility | Global | $43.65 | $83.18 | $83.18 |
United Setting Professional Modifier Global Typical Low $33.11 Median $46.77 Typical High $83.18 | Professional | Global | $33.11 | $46.77 | $83.18 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 25 · Same-day visit | $85.11 | $85.11 | $85.11 |
Where Ohio sits
The same service costs 2.1 times more in Alaska than in Alabama. 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· 40th of 51
$48.98
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.