How much rates vary
Facilitymedian $35 · 10th to 90th $30 to $54Professionalmedian $13 · 10th to 90th $12 to $23
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 $23.44 Median $23.44 Typical High $56.23 | Facility | None | $23.44 | $23.44 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $23.99 | Professional | None | $21.38 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $11.48 Typical High $12.02 | Professional | 52 · Reduced service | $10.72 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $4.27 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.47 Typical High $3.55 | Professional | 55 · Aftercare only | $3.24 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.29 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.14 | $2.29 | $2.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $53.70 | Facility | None | $30.20 | $34.67 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.60 | Professional | None | $13.49 | $13.49 | $16.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $10.00 Typical High $10.72 | Professional | UE · Used equipment | $10.00 | $10.00 | $10.72 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None | $33.11 | $33.11 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $25.12 | Professional | None | $16.22 | $22.39 | $25.12 |
SummaCare Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | None | $26.92 | $31.62 | $32.36 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $41.69 | Facility | None | $29.51 | $29.51 | $41.69 |
United Setting Professional Modifier None Typical Low $8.51 Median $15.49 Typical High $17.78 | Professional | None | $8.51 | $15.49 | $17.78 |
Where Ohio sits
The same service costs 3.5 times more in Hawaii 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· 40th of 51
$13.49
HI $37.15NY $10.72
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.