How much rates vary
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 $426.58 Median $426.58 Typical High $1,584.89 | Facility | None | $426.58 | $426.58 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $436.52 | Professional | None | $389.05 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $194.98 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $89.13 | Professional | 53 · Discontinued | $77.62 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $64.57 Typical High $66.07 | Professional | 55 · Aftercare only | $58.88 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $42.66 Typical High $43.65 | Professional | 56 · Pre-op care only | $38.90 | $42.66 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $1,000.00 | Facility | None | $549.54 | $630.96 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | None | $288.40 | $288.40 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None | $616.60 | $616.60 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $588.84 | Professional | None | $380.19 | $524.81 | $588.84 |
SummaCare Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $602.56 | Professional | None | $501.19 | $588.84 | $602.56 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $724.44 | Facility | None | $512.86 | $512.86 | $724.44 |
United Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $331.13 | Professional | None | $147.91 | $281.84 | $331.13 |
Where Ohio sits
The same service costs 2.8 times more in Montana 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· 34th of 51
$288
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.