How much rates vary
Facilitymedian $81 · 10th to 90th $69 to $129Professionalmedian $35 · 10th to 90th $32 to $56
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 $54.95 Median $54.95 Typical High $144.54 | Facility | None | $54.95 | $54.95 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $10.00 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $128.82 | Facility | None | $70.79 | $81.28 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | None | $31.62 | $31.62 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | UE · Used equipment | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | None | $95.50 | $95.50 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $77.62 | Professional | None | $50.12 | $69.18 | $77.62 |
SummaCare Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None | $64.57 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $114.82 | Facility | None | $81.28 | $81.28 | $114.82 |
United Setting Professional Modifier None Typical Low $12.88 Median $34.67 Typical High $42.66 | Professional | None | $12.88 | $34.67 | $42.66 |
Where Ohio sits
The same service costs 2.9 times more in Montana 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· 48th of 51
$34.67
MT $100AL $34.67
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.