How much rates vary
Facilitymedian $63 · 10th to 90th $54 to $98Professionalmedian $26 · 10th to 90th $25 to $44
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 $42.66 Median $42.66 Typical High $112.20 | Facility | None | $42.66 | $42.66 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | None | $42.66 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $5.13 |
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 $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $53.70 | Professional | None | $34.67 | $47.86 | $53.70 |
SummaCare Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $58.88 | Professional | None | $48.98 | $57.54 | $58.88 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $87.10 | Facility | None | $61.66 | $61.66 | $87.10 |
United Setting Professional Modifier None Typical Low $10.96 Median $26.92 Typical High $32.36 | Professional | None | $10.96 | $26.92 | $32.36 |
Where Ohio sits
The same service costs 3.3 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
$26.30
MT $87.10IN $26.30
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.