How much rates vary
Facilitymedian $100 · 10th to 90th $85 to $158Professionalmedian $42 · 10th to 90th $39 to $71
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 $67.61 Median $67.61 Typical High $173.78 | Facility | None | $67.61 | $67.61 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | None | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $33.88 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $158.49 | Facility | None | $87.10 | $100.00 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | None | $38.90 | $38.90 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None | $141.25 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $93.33 | Professional | None | $60.26 | $83.18 | $93.33 |
SummaCare Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | None | $79.43 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $138.04 | Facility | None | $97.72 | $97.72 | $138.04 |
United Setting Professional Modifier None Typical Low $12.88 Median $41.69 Typical High $52.48 | Professional | None | $12.88 | $41.69 | $52.48 |
Where Ohio sits
The same service costs 2.4 times more in Hawaii 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
$41.69
HI $100OH $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.