How much rates vary
Facilitymedian $20 · 10th to 90th $20 to $107Professionalmedian $38 · 10th to 90th $20 to $52
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $20.42 Median $20.42 Typical High $107.15 | Facility | None | $20.42 | $20.42 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | None | $16.98 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.51 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.70 | $2.04 | $2.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $52.48 | Professional | None | $30.20 | $38.02 | $52.48 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | None | $39.81 | $50.12 | $60.26 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None | $50.12 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $10.00 Median $36.31 Typical High $53.70 | Professional | None | $10.00 | $36.31 | $53.70 |
Where Ohio sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 11th of 51
$38.02
TX $120WV $8.32
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.