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 $162.18 Median $162.18 Typical High $501.19 | Facility | None | $162.18 | $162.18 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | None | $162.18 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $346.74 | Professional | None | $194.98 | $269.15 | $346.74 |
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 $165.96 Median $194.98 Typical High $295.12 | Professional | None | $165.96 | $194.98 | $295.12 |
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 2.6 times more in Alaska than in Arizona. 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· 36th of 51
$195
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.