How much rates vary
Facilitymedian $145 · 10th to 90th $120 to $224Professionalmedian $63 · 10th to 90th $55 to $102
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 $95.50 Median $95.50 Typical High $512.86 | Facility | None | $95.50 | $95.50 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $138.04 | Professional | None | $95.50 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $19.05 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $20.42 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $223.87 | Facility | None | $123.03 | $141.25 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | None | $54.95 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $41.69 | $41.69 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | None | $223.87 | $223.87 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $128.82 | Professional | None | $83.18 | $114.82 | $128.82 |
SummaCare Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $134.90 | Professional | None | $112.20 | $131.83 | $134.90 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $208.93 | Facility | None | $147.91 | $147.91 | $208.93 |
United Setting Professional Modifier None Typical Low $15.14 Median $57.54 Typical High $74.13 | Professional | None | $15.14 | $57.54 | $74.13 |
Where Ohio sits
The same service costs 2.9 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· 47th of 51
$63.10
HI $170NY $58.88
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.