How much rates vary
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 $199.53 Median $199.53 Typical High $467.74 | Facility | None | $199.53 | $199.53 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | None | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 52 · Reduced service | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | None | $158.49 | $158.49 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $281.84 | Professional | None | $162.18 | $194.98 | $281.84 |
SummaCare Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $223.87 | Professional | None | $199.53 | $208.93 | $223.87 |
United Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $389.05 | Professional | None | $190.55 | $239.88 | $389.05 |
Where Ohio sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 45th of 51
$200
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.