How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $295Professionalmedian $100 · 10th to 90th $59 to $117
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $107.15 Median $107.15 Typical High $295.12 | Facility | None | $107.15 | $107.15 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None | $100.00 | $100.00 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | None | $186.21 | $186.21 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $363.08 | Facility | None | $120.23 | $120.23 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $141.25 | Professional | None | $91.20 | $125.89 | $141.25 |
SummaCare Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $154.88 | Professional | None | $123.03 | $144.54 | $154.88 |
United Setting Professional Modifier None Typical Low $40.74 Median $70.79 Typical High $89.13 | Professional | None | $40.74 | $70.79 | $89.13 |
Where Ohio sits
The same service costs 3.0 times more in California than in New York. 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· 27th of 51
$100
CA $178NY $58.88
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.