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 $776.25 Median $1,621.81 Typical High $1,621.81 | Facility | None | $776.25 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $691.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $204.17 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $138.04 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
CareSource Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,737.80 | $1,737.80 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Optum Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,202.26 | $1,348.96 | $1,348.96 |
SummaCare Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,202.26 | $1,348.96 | $1,348.96 |
Where Ohio sits
The same service costs 36.3 times more in Hawaii 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· 38th of 51
$1,349
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.