How much rates vary
Facilitymedian $87 · 10th to 90th $74 to $138Professionalmedian $34 · 10th to 90th $29 to $59
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 $58.88 Median $58.88 Typical High $154.88 | Facility | None | $58.88 | $58.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | None | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.91 Typical High $9.12 | Professional | 55 · Aftercare only | $8.32 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.50 | $5.89 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $138.04 | Facility | None | $75.86 | $87.10 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | None | $33.88 | $33.88 | $41.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | UE · Used equipment | $25.70 | $25.70 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | None | $85.11 | $85.11 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $66.07 | Professional | None | $42.66 | $57.54 | $66.07 |
SummaCare Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | None | $69.18 | $81.28 | $81.28 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $97.72 | Facility | None | $69.18 | $69.18 | $97.72 |
United Setting Professional Modifier None Typical Low $10.96 Median $30.90 Typical High $45.71 | Professional | None | $10.96 | $30.90 | $45.71 |
Where Ohio sits
The same service costs 2.8 times more in Hawaii than in Utah. 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
$33.88
HI $81.28UT $28.84
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.