How much rates vary
Facilitymedian $102 · 10th to 90th $81 to $162Professionalmedian $40 · 10th to 90th $34 to $69
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 $69.18 Median $69.18 Typical High $138.04 | Facility | None | $69.18 | $69.18 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $70.79 | Professional | None | $63.10 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.23 Typical High $10.47 | Professional | 55 · Aftercare only | $9.55 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.92 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.31 | $6.92 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $162.18 | Facility | None | $89.13 | $102.33 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | None | $39.81 | $39.81 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | None | $91.20 | $91.20 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $69.18 | Professional | None | $44.67 | $61.66 | $69.18 |
SummaCare Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | None | $81.28 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $114.82 | Facility | None | $81.28 | $81.28 | $114.82 |
United Setting Professional Modifier None Typical Low $10.96 Median $34.67 Typical High $52.48 | Professional | None | $10.96 | $34.67 | $52.48 |
Where Ohio sits
The same service costs 3.1 times more in Montana than in New York. 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· 41st of 51
$39.81
MT $100NY $32.36
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.