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 $52.48 Median $61.66 Typical High $213.80 | Facility | Global | $52.48 | $61.66 | $213.80 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $426.58 Median $616.60 Typical High $776.25 | Facility | 25 · Same-day visit | $426.58 | $616.60 | $776.25 |
Aetna Setting Professional Modifier Global Typical Low $51.29 Median $75.86 Typical High $151.36 | Professional | Global | $51.29 | $75.86 | $151.36 |
Ambetter Setting Professional Modifier Global Typical Low $58.88 Median $75.86 Typical High $100.00 | Professional | Global | $58.88 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier Global Typical Low $58.88 Median $74.13 Typical High $107.15 | Professional | Global | $58.88 | $74.13 | $107.15 |
Aultcare Setting Professional Modifier Global Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | Global | $69.18 | $97.72 | $141.25 |
CareSource Setting Facility Modifier Global Typical Low $74.13 Median $85.11 Typical High $102.33 | Facility | Global | $74.13 | $85.11 | $102.33 |
CareSource Setting Professional Modifier Global Typical Low $74.13 Median $100.00 Typical High $120.23 | Professional | Global | $74.13 | $100.00 | $120.23 |
Cigna Setting Facility Modifier Global Typical Low $60.26 Median $85.11 Typical High $100.00 | Facility | Global | $60.26 | $85.11 | $100.00 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 22 · Increased work | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | AS · PA/NP assist | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier Global Typical Low $64.57 Median $91.20 Typical High $144.54 | Professional | Global | $64.57 | $91.20 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | Global | $123.03 | $123.03 | $123.03 |
Medical Mutual of Ohio Setting Facility Modifier 22 · Increased work Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 22 · Increased work | $147.91 | $147.91 | $147.91 |
Medical Mutual of Ohio Setting Facility Modifier AS · PA/NP assist Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | AS · PA/NP assist | $12.30 | $12.30 | $12.30 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $63.10 Median $89.13 Typical High $144.54 | Professional | Global | $63.10 | $89.13 | $144.54 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | Global | $32.36 | $33.11 | $33.11 |
Optum Setting Professional Modifier Global Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | Global | $75.86 | $79.43 | $100.00 |
SummaCare Setting Professional Modifier Global Typical Low $66.07 Median $91.20 Typical High $131.83 | Professional | Global | $66.07 | $91.20 | $131.83 |
United Setting Facility Modifier Global Typical Low $70.79 Median $131.83 Typical High $131.83 | Facility | Global | $70.79 | $131.83 | $131.83 |
United Setting Professional Modifier Global Typical Low $58.88 Median $83.18 Typical High $128.82 | Professional | Global | $58.88 | $83.18 | $128.82 |
Where Ohio sits
The same service costs 1.7 times more in Alaska 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
$75.86
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.