How much rates vary
Facilitymedian $120 · 10th to 90th $93 to $275Professionalmedian $120 · 10th to 90th $79 to $191
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 $93.33 Median $120.23 Typical High $275.42 | Facility | None | $93.33 | $120.23 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | None | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $14.13 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.33 | $12.02 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | None | $79.43 | $79.43 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $229.09 | Professional | None | $112.20 | $154.88 | $229.09 |
SummaCare Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $169.82 | Professional | None | $100.00 | $104.71 | $169.82 |
United Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $269.15 | Professional | None | $95.50 | $128.82 | $269.15 |
Where Ohio sits
The same service costs 2.8 times more in North Dakota 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· 25th of 51
$120
ND $257NY $93.33
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.