How much rates vary
Facilitymedian $95 · 10th to 90th $81 to $151Professionalmedian $38 · 10th to 90th $32 to $65
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 $64.57 Median $64.57 Typical High $144.54 | Facility | None | $64.57 | $64.57 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $66.07 | Professional | None | $63.10 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $31.62 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $12.59 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.77 Typical High $10.00 | Professional | 55 · Aftercare only | $9.55 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $151.36 | Facility | None | $83.18 | $97.72 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | UE · Used equipment | $28.18 | $28.18 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | None | $87.10 | $87.10 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $67.61 | Professional | None | $43.65 | $60.26 | $67.61 |
SummaCare Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $91.20 | Professional | None | $75.86 | $89.13 | $91.20 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $109.65 | Facility | None | $77.62 | $77.62 | $109.65 |
United Setting Professional Modifier None Typical Low $10.96 Median $33.11 Typical High $50.12 | Professional | None | $10.96 | $33.11 | $50.12 |
Where Ohio sits
The same service costs 2.7 times more in Hawaii than in Alabama. 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· 43rd of 51
$38.02
HI $87.10AL $32.36
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.