How much rates vary
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 $194.98 Median $537.03 Typical High $645.65 | Facility | None | $194.98 | $537.03 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $398.11 | Professional | None | $181.97 | $194.98 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $97.72 Typical High $128.82 | Professional | 52 · Reduced service | $95.50 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.50 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.05 | $19.50 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $117.49 | Professional | None | $89.13 | $100.00 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $630.96 | Professional | None | $134.90 | $134.90 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $269.15 | Professional | None | $165.96 | $181.97 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $263.03 Median $602.56 Typical High $1,202.26 | Facility | None | $263.03 | $602.56 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
SummaCare Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None | $169.82 | $169.82 | $208.93 |
United Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $1,122.02 | Facility | None | $676.08 | $794.33 | $1,122.02 |
United Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $281.84 | Professional | None | $134.90 | $218.78 | $281.84 |
Where Ohio sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 46th of 51
$166
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.