How much rates vary
Facilitymedian $51 · 10th to 90th $44 to $81Professionalmedian $20 · 10th to 90th $20 to $35
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 $34.67 Median $34.67 Typical High $102.33 | Facility | None | $34.67 | $34.67 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | None | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.76 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.75 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $51.29 Typical High $81.28 | Facility | None | $44.67 | $51.29 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | None | $19.95 | $19.95 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | UE · Used equipment | $15.14 | $15.14 | $15.14 |
Aultcare Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | None | $52.48 | $52.48 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $51.29 | Professional | None | $32.36 | $44.67 | $51.29 |
SummaCare Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $47.86 | Professional | None | $33.11 | $40.74 | $47.86 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Facility | None | $46.77 | $46.77 | $66.07 |
United Setting Professional Modifier None Typical Low $10.96 Median $21.38 Typical High $26.92 | Professional | None | $10.96 | $21.38 | $26.92 |
Where Ohio sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 50th of 51
$19.95
MT $64.57IN $19.95
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.