How much rates vary
Facilitymedian $95 · 10th to 90th $81 to $151Professionalmedian $38 · 10th to 90th $38 to $65
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 $64.57 Median $64.57 Typical High $181.97 | Facility | None | $64.57 | $64.57 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $151.36 | Facility | None | $83.18 | $95.50 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | None | $38.02 | $38.02 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | UE · Used equipment | $28.18 | $28.18 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | None | $114.82 | $114.82 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $85.11 | Professional | None | $54.95 | $75.86 | $85.11 |
SummaCare Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $91.20 | Professional | None | $75.86 | $89.13 | $91.20 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $128.82 | Facility | None | $91.20 | $91.20 | $128.82 |
United Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $50.12 | Professional | None | $19.05 | $39.81 | $50.12 |
Where Ohio sits
The same service costs 2.8 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
$38.02
MT $100NY $35.48
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.