How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $416.87 | Professional | None | $269.15 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $134.90 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $53.70 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $40.74 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $26.92 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $630.96 | Professional | None | $371.54 | $501.19 | $630.96 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,230.27 | Facility | None | $416.87 | $416.87 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $3,388.44 | Professional | None | $234.42 | $281.84 | $3,388.44 |
United Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $478.63 | Professional | None | $173.78 | $281.84 | $478.63 |
Where North Dakota sits
The same service costs 17.0 times more in Iowa than in Kentucky. 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.
North Dakota· 13th of 51
$417
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.