How much rates vary
Facilitymedian $79 · 10th to 90th $68 to $126Professionalmedian $35 · 10th to 90th $31 to $55
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 $53.70 Median $53.70 Typical High $162.18 | Facility | None | $53.70 | $53.70 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None | $53.70 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $13.49 | Professional | 53 · Discontinued | $10.72 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $10.23 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $125.89 | Facility | None | $69.18 | $79.43 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | None | $30.90 | $30.90 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | UE · Used equipment | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | None | $97.72 | $97.72 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $72.44 | Professional | None | $45.71 | $63.10 | $72.44 |
SummaCare Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | None | $63.10 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $117.49 | Facility | None | $83.18 | $83.18 | $117.49 |
United Setting Professional Modifier None Typical Low $12.88 Median $34.67 Typical High $41.69 | Professional | None | $12.88 | $34.67 | $41.69 |
Where Ohio sits
The same service costs 2.9 times more in Hawaii 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· 49th of 51
$35.48
HI $102IN $35.48
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.