How much rates vary
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 55 · Aftercare only | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | None | $295.12 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $346.74 | Professional | None | $275.42 | $295.12 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $426.58 | Professional | None | $151.36 | $354.81 | $426.58 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,230.27 | Facility | None | $331.13 | $331.13 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $363.08 | Professional | None | $302.00 | $338.84 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $363.08 | Professional | None | $302.00 | $338.84 | $363.08 |
Wellmark Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Where Iowa sits
The same service costs 22.9 times more in Arizona than in South Carolina. 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.
Iowa· 28th of 51
$331
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.