How much rates vary
Facilitymedian $26 · 10th to 90th $22 to $41Professionalmedian $11 · 10th to 90th $10 to $18
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 $17.38 Median $17.38 Typical High $114.82 | Facility | None | $17.38 | $17.38 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.63 Typical High $3.09 | Professional | 55 · Aftercare only | $2.63 | $2.63 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.74 | $1.74 | $2.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $25.70 Typical High $40.74 | Facility | None | $22.39 | $25.70 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.59 | Professional | None | $10.00 | $10.00 | $12.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | UE · Used equipment | $7.59 | $7.59 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $23.44 | Professional | None | $15.14 | $20.89 | $23.44 |
SummaCare Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | None | $20.42 | $23.99 | $23.99 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $38.02 | Facility | None | $26.92 | $26.92 | $38.02 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.48 Typical High $13.49 | Professional | None | $7.76 | $11.48 | $13.49 |
Where Ohio sits
The same service costs 4.6 times more in Hawaii than in Ohio. 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· 51st of 51
$11.48
HI $52.48OH $11.48
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.