How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $89Professionalmedian $1 · 10th to 90th $1 to $3
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 $0.56 Median $1.02 Typical High $1.02 | Facility | None | $0.56 | $1.02 | $1.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.09 Median $0.15 Typical High $0.15 | Facility | 55 · Aftercare only | $0.09 | $0.15 | $0.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.10 Typical High $0.10 | Facility | 56 · Pre-op care only | $0.06 | $0.10 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.44 Median $0.56 Typical High $1.02 | Professional | None | $0.44 | $0.56 | $1.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.09 Typical High $0.15 | Professional | 55 · Aftercare only | $0.07 | $0.09 | $0.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.06 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.04 | $0.06 | $0.10 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.38 Typical High $1.66 | Professional | None | $1.12 | $1.38 | $1.66 |
Hally Health Setting Professional Modifier None Typical Low $0.79 Median $1.45 Typical High $2.51 | Professional | None | $0.79 | $1.45 | $2.51 |
Medica Setting Facility Modifier None Typical Low $1.02 Median $1.58 Typical High $89.13 | Facility | None | $1.02 | $1.58 | $89.13 |
Medica Setting Professional Modifier None Typical Low $0.51 Median $1.35 Typical High $2.63 | Professional | None | $0.51 | $1.35 | $2.63 |
Midlands Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.74 | Professional | None | $1.38 | $1.38 | $1.74 |
United Setting Professional Modifier None Typical Low $0.48 Median $0.83 Typical High $3.24 | Professional | None | $0.48 | $0.83 | $3.24 |
Wellmark Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Where Iowa sits
The same service costs 3.2 times more in Texas than in Alabama. 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· 7th of 51
$1.32
TX $1.74AL $0.54
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.