How much rates vary
Facilitymedian $107 · 10th to 90th $89 to $166Professionalmedian $47 · 10th to 90th $42 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 $70.79 Median $70.79 Typical High $213.80 | Facility | None | $70.79 | $70.79 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | None | $70.79 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | 52 · Reduced service | $35.48 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 53 · Discontinued | $14.13 | $14.13 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $8.91 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $165.96 | Facility | None | $91.20 | $107.15 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | None | $41.69 | $41.69 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | UE · Used equipment | $30.90 | $30.90 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | None | $131.83 | $131.83 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $95.50 | Professional | None | $61.66 | $85.11 | $95.50 |
SummaCare Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $100.00 | Professional | None | $83.18 | $97.72 | $100.00 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Facility | None | $112.20 | $112.20 | $158.49 |
United Setting Professional Modifier None Typical Low $15.14 Median $45.71 Typical High $54.95 | Professional | None | $15.14 | $45.71 | $54.95 |
Where Ohio sits
The same service costs 2.5 times more in Montana than in Missouri. 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
$46.77
MT $115MO $46.77
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.