How much rates vary
Facilitymedian $138 · 10th to 90th $117 to $219Professionalmedian $59 · 10th to 90th $54 to $95
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 $93.33 Median $93.33 Typical High $275.42 | Facility | None | $93.33 | $93.33 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $218.78 | Facility | None | $120.23 | $138.04 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None | $53.70 | $53.70 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $123.03 | Professional | None | $79.43 | $109.65 | $123.03 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $131.83 | Professional | None | $109.65 | $128.82 | $131.83 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
United Setting Professional Modifier None Typical Low $15.14 Median $57.54 Typical High $72.44 | Professional | None | $15.14 | $57.54 | $72.44 |
Where Ohio sits
The same service costs 4.0 times more in Hawaii than in New York. 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· 50th of 51
$58.88
HI $209NY $52.48
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.