How much rates vary
Facilitymedian $81 · 10th to 90th $68 to $126Professionalmedian $36 · 10th to 90th $35 to $55
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 $53.70 Median $53.70 Typical High $134.90 | Facility | None | $53.70 | $53.70 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | None | $53.70 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 52 · Reduced service | $26.92 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $13.80 | Professional | 53 · Discontinued | $10.96 | $10.96 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $10.47 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $125.89 | Facility | None | $69.18 | $81.28 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | None | $36.31 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $27.54 | $27.54 | $27.54 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | None | $95.50 | $95.50 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $54.95 | Professional | None | $35.48 | $48.98 | $54.95 |
SummaCare Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $75.86 | Professional | None | $63.10 | $74.13 | $75.86 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $120.23 | Facility | None | $85.11 | $85.11 | $120.23 |
United Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $41.69 | Professional | None | $24.55 | $36.31 | $41.69 |
Where Ohio sits
The same service costs 2.8 times more in Montana than in Alabama. 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
$36.31
MT $100AL $36.31
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.