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 $100.00 Median $125.89 Typical High $323.59 | Facility | None | $100.00 | $125.89 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $14.79 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.00 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | None | $93.33 | $93.33 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $181.97 | Professional | None | $91.20 | $125.89 | $181.97 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $173.78 | Professional | None | $109.65 | $114.82 | $173.78 |
United Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $275.42 | Professional | None | $112.20 | $151.36 | $275.42 |
Where Ohio sits
The same service costs 2.6 times more in North Dakota than in Delaware. 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· 33rd of 51
$126
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.