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 $35.48 Median $35.48 Typical High $107.15 | Facility | None | $35.48 | $35.48 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | None | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 52 · Reduced service | $17.78 | $17.78 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $7.08 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $6.76 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $4.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | None | $30.90 | $30.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $45.71 | Professional | None | $22.39 | $29.51 | $45.71 |
SummaCare Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $50.12 | Professional | None | $44.67 | $46.77 | $50.12 |
United Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $83.18 | Professional | None | $36.31 | $47.86 | $83.18 |
Where Ohio sits
The same service costs 2.6 times more in North Dakota than in Ohio. 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· 51st of 51
$33.88
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.