How much rates vary
Facilitymedian $23 · 10th to 90th $19 to $41Professionalmedian $10 · 10th to 90th $9 to $15
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 $14.79 Median $40.74 Typical High $50.12 | Facility | None | $14.79 | $40.74 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | None | $14.79 | $14.79 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.47 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.24 Typical High $2.63 | Professional | 55 · Aftercare only | $2.24 | $2.24 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.48 | $1.48 | $1.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $22.39 Typical High $34.67 | Facility | None | $19.05 | $22.39 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | None | $8.71 | $8.71 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.46 Median $6.46 Typical High $6.92 | Professional | UE · Used equipment | $6.46 | $6.46 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | None | $28.84 | $28.84 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $21.38 | Professional | None | $13.80 | $18.62 | $21.38 |
SummaCare Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $20.42 | Professional | None | $14.13 | $17.38 | $20.42 |
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 $6.03 Median $10.00 Typical High $12.02 | Professional | None | $6.03 | $10.00 | $12.02 |
Where Ohio sits
The same service costs 3.2 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· 49th of 51
$9.77
MT $26.92NY $8.32
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.