How much rates vary
Facilitymedian $135 · 10th to 90th $115 to $214Professionalmedian $52 · 10th to 90th $52 to $91
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 $91.20 Median $91.20 Typical High $204.17 | Facility | None | $91.20 | $91.20 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | None | $89.13 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $17.78 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.80 Typical High $15.14 | Professional | 55 · Aftercare only | $13.18 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.12 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.91 | $9.12 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $213.80 | Facility | None | $117.49 | $134.90 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | None | $52.48 | $52.48 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $39.81 | $39.81 | $39.81 |
Aultcare Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None | $141.25 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $125.89 | Professional | None | $81.28 | $112.20 | $125.89 |
SummaCare Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $128.82 | Professional | None | $107.15 | $125.89 | $128.82 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $173.78 | Facility | None | $123.03 | $123.03 | $173.78 |
United Setting Professional Modifier None Typical Low $35.48 Median $61.66 Typical High $70.79 | Professional | None | $35.48 | $61.66 | $70.79 |
Where Ohio sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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
$52.48
HI $166AZ $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.