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 $144.54 Median $208.93 Typical High $218.78 | Facility | None | $144.54 | $208.93 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $208.93 | Professional | None | $144.54 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $70.79 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $21.38 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.45 | $20.89 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $17.38 | Professional | None | $10.96 | $13.80 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $2,754.23 | Professional | None | $23.99 | $28.18 | $2,754.23 |
SummaCare Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $363.08 | Professional | None | $147.91 | $199.53 | $363.08 |
Where Ohio sits
The same service costs 6.6 times more in Alabama 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· 44th of 51
$182
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.