How much rates vary
Facilitymedian $54 · 10th to 90th $46 to $83Professionalmedian $22 · 10th to 90th $21 to $36
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 $36.31 Median $36.31 Typical High $107.15 | Facility | None | $36.31 | $36.31 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | None | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $8.32 | Professional | 53 · Discontinued | $7.24 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $6.31 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $83.18 | Facility | None | $46.77 | $53.70 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $25.70 | Professional | None | $20.89 | $20.89 | $25.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | UE · Used equipment | $15.49 | $15.49 | $15.49 |
Aultcare Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | None | $58.88 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $52.48 | Professional | None | $33.88 | $46.77 | $52.48 |
SummaCare Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $50.12 | Professional | None | $41.69 | $48.98 | $50.12 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $74.13 | Facility | None | $52.48 | $52.48 | $74.13 |
United Setting Professional Modifier None Typical Low $10.96 Median $22.39 Typical High $27.54 | Professional | None | $10.96 | $22.39 | $27.54 |
Where Ohio sits
The same service costs 3.3 times more in Montana than in Missouri. 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· 46th of 51
$22.39
MT $74.13MO $22.39
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.