How much rates vary
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 $41.69 Median $41.69 Typical High $112.20 | Facility | None | $41.69 | $41.69 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $20.89 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $9.55 | Professional | 53 · Discontinued | $8.51 | $8.51 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $7.24 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $97.72 | Facility | None | $54.95 | $63.10 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | None | $24.55 | $24.55 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | UE · Used equipment | $18.20 | $18.20 | $19.05 |
Aultcare Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | None | $77.62 | $77.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $54.95 | Professional | None | $35.48 | $48.98 | $54.95 |
SummaCare Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $57.54 | Professional | None | $39.81 | $48.98 | $57.54 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $85.11 | Facility | None | $60.26 | $60.26 | $85.11 |
United Setting Professional Modifier None Typical Low $10.96 Median $25.70 Typical High $32.36 | Professional | None | $10.96 | $25.70 | $32.36 |
Where Ohio sits
The same service costs 3.0 times more in Hawaii 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· 48th of 51
$25.70
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.