How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1,479,108Professionalmedian $562,341 · 10th to 90th $549,541 to $707,946
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 $562,341.33 Median $1,548,816.62 Typical High $1,905,460.72 | Facility | None | $562,341.33 | $1,548,816.62 | $1,905,460.72 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $112,201.85 Typical High $112,201.85 | Professional | 53 · Discontinued | $112,201.85 | $112,201.85 | $112,201.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $56,234.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.05 | Facility | None | $0.02 | $0.02 | $0.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $691,830.97 Typical High $1,174,897.55 | Professional | None | $562,341.33 | $691,830.97 | $1,174,897.55 |
CareSource Setting Facility Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Facility | None | $537,031.80 | $537,031.80 | $537,031.80 |
CareSource Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $724,435.96 | Professional | None | $537,031.80 | $537,031.80 | $724,435.96 |
Molina Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $794,328.23 | Professional | None | $537,031.80 | $537,031.80 | $794,328.23 |
SummaCare Setting Professional Modifier None Typical Low $562,341.33 Median $588,843.66 Typical High $691,830.97 | Professional | None | $562,341.33 | $588,843.66 | $691,830.97 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $758,577.58 | Professional | None | $537,031.80 | $537,031.80 | $758,577.58 |
Where Ohio sits
Rates are fairly even across states for this service. 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· 30th of 51
$562,341
MS $676,083NJ $537,032
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.