How much rates vary
Facilitymedian $166 · 10th to 90th $117 to $288Professionalmedian $501 · 10th to 90th $166 to $692
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 $165.96 Median $165.96 Typical High $288.40 | Facility | None | $165.96 | $165.96 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | None | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $741.31 | Professional | None | $501.19 | $501.19 | $741.31 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None | $50.12 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $177.83 | Facility | None | $107.15 | $125.89 | $177.83 |
United Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Where Ohio sits
The same service costs 53.7 times more in Oklahoma than in Missouri. 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· 3rd of 51
$501
OK $2,570MO $47.86
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.