Current payerAnthem Blue Access PPO ยท #HFO-2291
WorksitesCincinnati, OH ยท Covington, KY
MarketsWithin 25 mi ยท OH, KY
ScopeImaging + surgical ยท top procedures
Plan year2026 ยท updated Jul 12
Payer rate comparison

Would another payer cost less?โ— live MRF rates

Your current payer's negotiated rates vs other national payers โ€” same procedures, your markets.

UnitedHealthcare posts the lowest blended rates in your markets โ€” roughly 11% under Anthem across your top procedures, โ‰ˆ $180K/yr on current volume. Directional โ€” before network-disruption and utilization weighting.

UnitedHealthcareโˆ’11%
Aetnaโˆ’7%
Cignaโˆ’4%
Anthem ยท currentbaseline
ProcedureCPT Anthem
your payer
United­HealthcareCignaAetna Best alternative
MRI, lower spine72148 $3,480 $2,590$2,980$3,120 UHC ยท โˆ’$890 (โˆ’26%)
Knee arthroscopy29881 $6,120 $5,400$4,950$5,880 Cigna ยท โˆ’$1,170 (โˆ’19%)
CT, abdomen w/ contrast74160 $1,890 $1,540$1,720$1,610 UHC ยท โˆ’$350 (โˆ’19%)
Colonoscopy, screening45378 $2,260 $2,010$2,180$1,940 Aetna ยท โˆ’$320 (โˆ’14%)
Echocardiogram93306 $1,120 $980$1,050$1,010 UHC ยท โˆ’$140 (โˆ’13%)
Cataract surgery66984 $3,950 $3,600$3,780$3,510 Aetna ยท โˆ’$440 (โˆ’11%)

Rates are median negotiated amounts in your markets from payers' public MRF data โ€” not quotes. Blended savings weight each procedure by your current utilization; connect your claims feed to sharpen it. A switch decision also depends on network disruption, admin fees, and care-access factors beyond unit price.

Also โ€” compare facilities on your current plan

A nice-to-have for steering: where a given procedure is cheapest across nearby facilities on Anthem today. Not the switch decision above.

Searching outside Ohio or Kentucky? ๐Ÿ”’Level 3

Data Explorer compares any procedure, any payer, anywhere โ€” nationwide, with export.