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 $269.15 Median $269.15 Typical High $1,122.02 | Facility | None | $269.15 | $269.15 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $630.96 | Facility | None | $346.74 | $398.11 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | None | $181.97 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $138.04 | $138.04 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | None | $512.86 | $512.86 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $489.78 | Professional | None | $309.03 | $426.58 | $489.78 |
SummaCare Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $380.19 | Professional | None | $316.23 | $371.54 | $380.19 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $602.56 | Facility | None | $426.58 | $426.58 | $602.56 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $208.93 | Professional | None | $120.23 | $181.97 | $208.93 |
Where Ohio sits
The same service costs 4.4 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· 46th of 51
$182
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.