How much rates vary
Facilitymedian $71 · 10th to 90th $59 to $129Professionalmedian $30 · 10th to 90th $27 to $50
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 $46.77 Median $128.82 Typical High $158.49 | Facility | None | $46.77 | $128.82 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | None | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $23.44 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $69.18 Typical High $109.65 | Facility | None | $60.26 | $69.18 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | None | $26.92 | $26.92 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Aultcare Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | None | $79.43 | $79.43 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $75.86 | Professional | None | $48.98 | $67.61 | $75.86 |
SummaCare Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $100.00 | Facility | None | $70.79 | $70.79 | $100.00 |
United Setting Professional Modifier None Typical Low $12.88 Median $30.90 Typical High $36.31 | Professional | None | $12.88 | $30.90 | $36.31 |
Where Ohio sits
The same service costs 2.8 times more in Montana than in Ohio. 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· 51st of 51
$30.20
MT $83.18OH $30.20
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.