How much rates vary
Facilitymedian $71 · 10th to 90th $60 to $112Professionalmedian $29 · 10th to 90th $27 to $49
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 $47.86 Median $47.86 Typical High $123.03 | Facility | None | $47.86 | $47.86 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | None | $47.86 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | 52 · Reduced service | $23.99 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $12.30 | Professional | 53 · Discontinued | $9.55 | $9.55 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $112.20 | Facility | None | $61.66 | $70.79 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | None | $27.54 | $27.54 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | None | $100.00 | $100.00 | $104.71 |
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 $37.15 Median $51.29 Typical High $58.88 | Professional | None | $37.15 | $51.29 | $58.88 |
SummaCare Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | None | $54.95 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $95.50 | Facility | None | $67.61 | $67.61 | $95.50 |
United Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $36.31 | Professional | None | $10.96 | $29.51 | $36.31 |
Where Ohio sits
The same service costs 2.6 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
$28.84
MT $74.13IN $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.