How much rates vary
Facilitymedian $158 · 10th to 90th $132 to $245Professionalmedian $69 · 10th to 90th $59 to $107
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 $104.71 Median $104.71 Typical High $363.08 | Facility | None | $104.71 | $104.71 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $245.47 | Facility | None | $134.90 | $154.88 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None | $60.26 | $60.26 | $75.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | None | $245.47 | $245.47 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $141.25 | Professional | None | $91.20 | $123.03 | $141.25 |
SummaCare Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $147.91 | Professional | None | $123.03 | $144.54 | $147.91 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $229.09 | Facility | None | $162.18 | $162.18 | $229.09 |
United Setting Professional Modifier None Typical Low $15.14 Median $63.10 Typical High $81.28 | Professional | None | $15.14 | $63.10 | $81.28 |
Where Ohio sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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
$69.18
HI $204IN $69.18
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.