How much rates vary
Facilitymedian $91 · 10th to 90th $78 to $145Professionalmedian $38 · 10th to 90th $35 to $63
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 $61.66 Median $61.66 Typical High $181.97 | Facility | None | $61.66 | $61.66 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $30.90 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $10.47 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $144.54 | Facility | None | $79.43 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | None | $35.48 | $35.48 | $44.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | UE · Used equipment | $26.92 | $26.92 | $26.92 |
Aultcare Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $89.13 | Professional | None | $57.54 | $79.43 | $89.13 |
SummaCare Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | None | $72.44 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $125.89 | Facility | None | $89.13 | $89.13 | $125.89 |
United Setting Professional Modifier None Typical Low $15.14 Median $38.02 Typical High $47.86 | Professional | None | $15.14 | $38.02 | $47.86 |
Where Ohio sits
The same service costs 2.7 times more in Hawaii than in Utah. 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
$38.02
HI $102UT $38.02
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.