How much rates vary
Facilitymedian $105 · 10th to 90th $87 to $162Professionalmedian $46 · 10th to 90th $40 to $72
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 $69.18 Median $69.18 Typical High $194.98 | Facility | None | $69.18 | $69.18 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None | $69.18 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $162.18 | Facility | None | $89.13 | $102.33 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None | $39.81 | $39.81 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
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 $81.28 Median $95.50 Typical High $97.72 | Professional | None | $81.28 | $95.50 | $97.72 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $151.36 | Facility | None | $107.15 | $107.15 | $151.36 |
United Setting Professional Modifier None Typical Low $15.14 Median $44.67 Typical High $53.70 | Professional | None | $15.14 | $44.67 | $53.70 |
Where Ohio sits
The same service costs 2.3 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· 47th of 51
$45.71
HI $107UT $45.71
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.