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 $27.54 Median $27.54 Typical High $112.20 | Facility | None | $27.54 | $27.54 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | None | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.03 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.17 Typical High $4.47 | Professional | 55 · Aftercare only | $4.17 | $4.17 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $3.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $64.57 | Facility | None | $35.48 | $40.74 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.95 | Professional | None | $16.22 | $16.22 | $19.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | UE · Used equipment | $12.02 | $12.02 | $12.88 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | None | $44.67 | $44.67 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $34.67 | Professional | None | $21.88 | $30.20 | $34.67 |
SummaCare Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $38.90 | Professional | None | $32.36 | $38.02 | $38.90 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $56.23 | Facility | None | $39.81 | $39.81 | $56.23 |
United Setting Professional Modifier None Typical Low $11.48 Median $18.62 Typical High $21.38 | Professional | None | $11.48 | $18.62 | $21.38 |
Where Ohio sits
The same service costs 5.9 times more in Hawaii than in Utah. 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· 50th of 51
$16.60
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.