How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $26.30 Median $37.15 Typical High $48.98 | Facility | Global | $26.30 | $37.15 | $48.98 |
Aetna Setting Professional Modifier Global Typical Low $23.44 Median $35.48 Typical High $63.10 | Professional | Global | $23.44 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $36.31 Median $50.12 Typical High $58.88 | Professional | 25 · Same-day visit | $36.31 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $15.49 Typical High $21.88 | Professional | 52 · Reduced service | $11.22 | $15.49 | $21.88 |
Ambetter Setting Professional Modifier Global Typical Low $31.62 Median $34.67 Typical High $41.69 | Professional | Global | $31.62 | $34.67 | $41.69 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $38.02 Median $38.90 Typical High $43.65 | Professional | 25 · Same-day visit | $38.02 | $38.90 | $43.65 |
Anthem BCBS Setting Facility Modifier Global Typical Low $870.96 Median $4,466.84 Typical High $4,466.84 | Facility | Global | $870.96 | $4,466.84 | $4,466.84 |
Anthem BCBS Setting Professional Modifier Global Typical Low $31.62 Median $37.15 Typical High $58.88 | Professional | Global | $31.62 | $37.15 | $58.88 |
Aultcare Setting Professional Modifier Global Typical Low $23.99 Median $38.02 Typical High $48.98 | Professional | Global | $23.99 | $38.02 | $48.98 |
CareSource Setting Facility Modifier Global Typical Low $20.89 Median $28.18 Typical High $34.67 | Facility | Global | $20.89 | $28.18 | $34.67 |
CareSource Setting Professional Modifier Global Typical Low $34.67 Median $38.90 Typical High $51.29 | Professional | Global | $34.67 | $38.90 | $51.29 |
Cigna Setting Facility Modifier Global Typical Low $35.48 Median $35.48 Typical High $42.66 | Facility | Global | $35.48 | $35.48 | $42.66 |
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | Global | $37.15 | $37.15 | $37.15 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | Global | $41.69 | $41.69 | $41.69 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $36.31 Median $37.15 Typical High $38.90 | Professional | Global | $36.31 | $37.15 | $38.90 |
Molina Setting Professional Modifier Global Typical Low $31.62 Median $32.36 Typical High $33.11 | Professional | Global | $31.62 | $32.36 | $33.11 |
SummaCare Setting Facility Modifier Global Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | Global | $154.88 | $154.88 | $154.88 |
SummaCare Setting Professional Modifier Global Typical Low $23.99 Median $38.02 Typical High $67.61 | Professional | Global | $23.99 | $38.02 | $67.61 |
United Setting Facility Modifier Global Typical Low $27.54 Median $36.31 Typical High $288.40 | Facility | Global | $27.54 | $36.31 | $288.40 |
United Setting Professional Modifier Global Typical Low $25.12 Median $38.02 Typical High $72.44 | Professional | Global | $25.12 | $38.02 | $72.44 |
Where Ohio sits
The same service costs 1.9 times more in Minnesota than in Mississippi. 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· 28th of 51
$36.31
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.