How much rates vary
Facilitymedian $95 · 10th to 90th $81 to $151Professionalmedian $37 · 10th to 90th $36 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 $151.36 | Facility | None | $64.57 | $64.57 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | None | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $151.36 | Facility | None | $83.18 | $95.50 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | None | $37.15 | $37.15 | $45.71 |
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 $117.49 Median $117.49 Typical High $120.23 | Professional | None | $117.49 | $117.49 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $79.43 | Professional | None | $50.12 | $69.18 | $79.43 |
SummaCare Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | None | $75.86 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Facility | None | $87.10 | $87.10 | $123.03 |
United Setting Professional Modifier None Typical Low $12.88 Median $38.90 Typical High $50.12 | Professional | None | $12.88 | $38.90 | $50.12 |
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
$37.15
MT $95.50IN $37.15
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.