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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | None | $16.60 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $8.32 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.51 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.66 | $2.00 | $2.00 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $100.00 | Professional | None | $35.48 | $35.48 | $100.00 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $63.10 | Facility | None | $16.60 | $23.99 | $63.10 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $120.23 Typical High $120.23 | Professional | None | $32.36 | $120.23 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None | $33.11 | $33.11 | $54.95 |
Midlands Setting Professional Modifier None Typical Low $27.54 Median $64.57 Typical High $64.57 | Professional | None | $27.54 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | None | $33.88 | $36.31 | $37.15 |
Wellmark Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Where Iowa sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 16th of 51
$33.11
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.