How much rates vary
Facilitymedian $4,571 · 10th to 90th $851 to $13,804Professionalmedian $15,136 · 10th to 90th $10,965 to $15,136
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 $5,370.32 Median $10,964.78 Typical High $41,686.94 | Facility | None | $5,370.32 | $10,964.78 | $41,686.94 |
Aetna Setting Professional Modifier None Typical Low $10,964.78 Median $15,135.61 Typical High $15,135.61 | Professional | None | $10,964.78 | $15,135.61 | $15,135.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | 52 · Reduced service | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 53 · Discontinued | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | 54 · Surgery only | $11,481.54 | $11,481.54 | $11,481.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 55 · Aftercare only | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 56 · Pre-op care only | $1,513.56 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $3,548.13 Typical High $12,022.64 | Facility | None | $1,096.48 | $3,548.13 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $2,691.53 | Facility | None | $501.19 | $630.96 | $2,691.53 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $2,691.53 | Facility | None | $501.19 | $691.83 | $2,691.53 |
SummaCare Setting Facility Modifier None Typical Low $5,248.07 Median $5,495.41 Typical High $6,309.57 | Facility | None | $5,248.07 | $5,495.41 | $6,309.57 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $11,748.98 | Facility | None | $912.01 | $3,388.44 | $11,748.98 |
Where Ohio sits
The same service costs 6.9 times more in Michigan than in Arkansas. 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· 15th of 51
$9,772
MI $15,136AR $2,188
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.