How much rates vary
Facilitymedian $14 · 10th to 90th $11 to $25Professionalmedian $6 · 10th to 90th $5 to $12
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 $9.12 Median $25.12 Typical High $30.90 | Facility | None | $9.12 | $25.12 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $12.02 | Professional | None | $9.12 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.57 Typical High $6.03 | Professional | 52 · Reduced service | $4.57 | $4.57 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.40 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.38 Median $1.38 Typical High $1.82 | Professional | 55 · Aftercare only | $1.38 | $1.38 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.91 | $0.91 | $1.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $13.49 Typical High $21.38 | Facility | None | $11.75 | $13.49 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $15.85 | Professional | None | $4.27 | $7.08 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $4.90 Typical High $5.25 | Professional | UE · Used equipment | $3.98 | $4.90 | $5.25 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | None | $19.50 | $19.50 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $14.79 | Professional | None | $9.33 | $12.88 | $14.79 |
SummaCare Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $12.88 | Professional | None | $10.72 | $12.59 | $12.88 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95 | Facility | None | $14.13 | $14.13 | $19.95 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.17 Typical High $7.41 | Professional | None | $3.98 | $6.17 | $7.41 |
Where Ohio sits
The same service costs 2.7 times more in Montana 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· 43rd of 51
$6.61
MT $16.22UT $6.03
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.