How much rates vary
Facilitymedian $275 · 10th to 90th $141 to $562Professionalmedian $126 · 10th to 90th $85 to $562
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $562.34 Median $562.34 Typical High $1,905.46 | Facility | None | $562.34 | $562.34 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $562.34 Typical High $562.34 | Professional | None | $95.50 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $46.77 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $19.05 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $14.13 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $9.55 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $154.88 Typical High $190.55 | Professional | None | $58.88 | $154.88 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $416.87 | Facility | None | $239.88 | $275.42 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $363.08 | Facility | None | $239.88 | $275.42 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $109.65 | Professional | None | $50.12 | $85.11 | $109.65 |
SummaCare Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $158.49 | Facility | None | $134.90 | $141.25 | $158.49 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $144.54 | Professional | None | $109.65 | $117.49 | $144.54 |
United Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $165.96 | Professional | None | $117.49 | $125.89 | $165.96 |
Where Ohio sits
The same service costs 26.9 times more in Kansas than in New York. 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· 34th of 51
$126
KS $1,445NY $53.70
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.