How much rates vary
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 Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.90 | Professional | None | $33.88 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $18.20 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.24 Typical High $7.76 | Professional | 53 · Discontinued | $6.76 | $7.24 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.37 Typical High $5.75 | Professional | 55 · Aftercare only | $5.01 | $5.37 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.63 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.39 | $3.63 | $3.89 |
CareSource Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $79,432.82 | Professional | None | $87.10 | $87.10 | $79,432.82 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | None | $50.12 | $50.12 | $60.26 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $41.69 | Professional | None | $12.02 | $12.88 | $41.69 |
Where Ohio sits
The same service costs 7.8 times more in Montana than in Nebraska. 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· 43rd of 51
$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.