How much rates vary
Facilitymedian $195 · 10th to 90th $166 to $302Professionalmedian $87 · 10th to 90th $72 to $138
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 $131.83 Median $131.83 Typical High $891.25 | Facility | None | $131.83 | $131.83 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | None | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $66.07 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $302.00 | Facility | None | $169.82 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | None | $75.86 | $75.86 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | UE · Used equipment | $56.23 | $56.23 | $56.23 |
CareSource Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None | $229.09 | $229.09 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $177.83 | Professional | None | $112.20 | $154.88 | $177.83 |
SummaCare Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $181.97 | Professional | None | $151.36 | $177.83 | $181.97 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $288.40 | Facility | None | $204.17 | $204.17 | $288.40 |
United Setting Professional Modifier None Typical Low $15.14 Median $79.43 Typical High $100.00 | Professional | None | $15.14 | $79.43 | $100.00 |
Where Ohio sits
The same service costs 5.0 times more in Hawaii than in Florida. 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
$87.10
HI $437FL $87.10
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.