How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $126Professionalmedian $30 · 10th to 90th $1 to $41
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $0.81 Median $0.81 Typical High $154.88 | Facility | None | $0.81 | $0.81 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.87 | Professional | None | $0.81 | $0.81 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.41 Typical High $0.44 | Professional | 52 · Reduced service | $0.41 | $0.41 | $0.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.17 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.91 Median $2.00 Typical High $5.50 | Facility | None | $0.91 | $2.00 | $5.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $40.74 | Professional | None | $21.88 | $30.20 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
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 $0.95 Median $0.95 Typical High $1.12 | Professional | None | $0.95 | $0.95 | $1.12 |
United Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $186.21 | Facility | None | $112.20 | $131.83 | $186.21 |
Where Ohio sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 19th of 51
$30.20
MO $141IL $0.81
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.