How much rates vary
Facilitymedian $178 · 10th to 90th $178 to $288Professionalmedian $191 · 10th to 90th $110 to $309
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $323.59 | Professional | None | $181.97 | $213.80 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $186.21 | Professional | None | $147.91 | $181.97 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $158.49 | Professional | None | $12.88 | $22.39 | $158.49 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $218.78 Typical High $616.60 | Facility | None | $169.82 | $218.78 | $616.60 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $616.60 | Professional | None | $141.25 | $190.55 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $630.96 Typical High $630.96 | Professional | None | $181.97 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $213.80 | Professional | None | $173.78 | $194.98 | $213.80 |
Wellmark Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Where Iowa sits
The same service costs 562.3 times more in Montana than in Rhode Island. 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· 40th of 51
$182
MT $282RI $0.50
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.