How much rates vary
Facilitymedian $275 · 10th to 90th $141 to $389Professionalmedian $126 · 10th to 90th $110 to $302
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $302.00 Typical High $302.00 | Professional | None | $125.89 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $63.10 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $25.12 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $19.05 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $12.59 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $199.53 | Professional | None | $120.23 | $158.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $416.87 | Facility | None | $239.88 | $275.42 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $363.08 | Facility | None | $239.88 | $275.42 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $102.33 | Professional | None | $50.12 | $87.10 | $102.33 |
SummaCare Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $158.49 | Facility | None | $134.90 | $141.25 | $158.49 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $151.36 | Professional | None | $109.65 | $123.03 | $151.36 |
United Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $151.36 | Professional | None | $117.49 | $125.89 | $151.36 |
Where Ohio sits
The same service costs 2.3 times more in North Dakota than in North Carolina. 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· 20th of 51
$126
ND $224NC $95.50
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.