How much rates vary
Facilitymedian $126 · 10th to 90th $107 to $200Professionalmedian $49 · 10th to 90th $42 to $85
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 $85.11 Median $85.11 Typical High $234.42 | Facility | None | $85.11 | $85.11 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $87.10 | Professional | None | $79.43 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.88 Typical High $13.18 | Professional | 55 · Aftercare only | $12.02 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.51 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.94 | $8.51 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $199.53 | Facility | None | $109.65 | $125.89 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | None | $48.98 | $48.98 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | UE · Used equipment | $37.15 | $37.15 | $37.15 |
CareSource Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | None | $114.82 | $114.82 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $100.00 | Professional | None | $63.10 | $87.10 | $100.00 |
SummaCare Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $120.23 | Professional | None | $100.00 | $117.49 | $120.23 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Facility | None | $102.33 | $102.33 | $144.54 |
United Setting Professional Modifier None Typical Low $10.96 Median $43.65 Typical High $66.07 | Professional | None | $10.96 | $43.65 | $66.07 |
Where Ohio sits
The same service costs 3.2 times more in Hawaii than in New York. 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· 45th of 51
$48.98
HI $135NY $41.69
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.