How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $2Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.39 Median $2.40 Typical High $2.40 | Facility | None | $0.39 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.24 Median $1.20 Typical High $1.20 | Facility | 52 · Reduced service | $0.24 | $1.20 | $1.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.10 Median $0.48 Typical High $0.48 | Facility | 53 · Discontinued | $0.10 | $0.48 | $0.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.07 Median $0.36 Typical High $0.36 | Facility | 55 · Aftercare only | $0.07 | $0.36 | $0.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.24 Typical High $0.24 | Facility | 56 · Pre-op care only | $0.05 | $0.24 | $0.24 |
Aetna Setting Professional Modifier None Typical Low $0.39 Median $0.49 Typical High $2.40 | Professional | None | $0.39 | $0.49 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.20 Median $0.36 Typical High $1.20 | Professional | 52 · Reduced service | $0.20 | $0.36 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.14 Typical High $0.48 | Professional | 53 · Discontinued | $0.08 | $0.14 | $0.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.11 Typical High $0.36 | Professional | 55 · Aftercare only | $0.06 | $0.11 | $0.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.07 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.04 | $0.07 | $0.24 |
Cigna Setting Professional Modifier None Typical Low $0.41 Median $0.52 Typical High $0.58 | Professional | None | $0.41 | $0.52 | $0.58 |
Hally Health Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $4.57 | Professional | None | $0.56 | $0.56 | $4.57 |
Medica Setting Facility Modifier None Typical Low $0.38 Median $0.63 Typical High $2.40 | Facility | None | $0.38 | $0.63 | $2.40 |
Medica Setting Professional Modifier None Typical Low $0.46 Median $0.46 Typical High $1.45 | Professional | None | $0.46 | $0.46 | $1.45 |
Midlands Setting Professional Modifier None Typical Low $0.65 Median $0.69 Typical High $0.69 | Professional | None | $0.65 | $0.69 | $0.69 |
United Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.51 | Professional | None | $0.48 | $0.48 | $0.51 |
Wellmark Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Facility | None | $0.48 | $0.48 | $0.48 |
Where Iowa sits
The same service costs 5.2 times more in Wyoming than in Georgia. 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· 35th of 51
$0.48
WY $2.04GA $0.39
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.