How much rates vary
Facilitymedian $23 · 10th to 90th $20 to $37Professionalmedian $10 · 10th to 90th $9 to $17
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 $15.85 Median $15.85 Typical High $120.23 | Facility | None | $15.85 | $15.85 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.50 | Professional | None | $15.85 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.80 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.40 Typical High $2.88 | Professional | 55 · Aftercare only | $2.40 | $2.40 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $1.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $23.44 Typical High $37.15 | Facility | None | $20.42 | $23.44 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $11.48 | Professional | None | $9.12 | $9.12 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | UE · Used equipment | $6.92 | $6.92 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $35.48 | Professional | None | $33.88 | $33.88 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $21.88 | Professional | None | $13.80 | $19.05 | $21.88 |
SummaCare Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $22.39 | Professional | None | $18.62 | $21.88 | $22.39 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $32.36 | Facility | None | $22.91 | $22.91 | $32.36 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $12.88 | Professional | None | $6.61 | $10.23 | $12.88 |
Where Ohio sits
The same service costs 3.0 times more in Montana 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· 50th of 51
$9.55
MT $25.12NY $8.51
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.