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 $338.84 Median $389.05 Typical High $489.78 | Facility | None | $338.84 | $389.05 | $489.78 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $169.82 Median $194.98 Typical High $245.47 | Facility | 52 · Reduced service | $169.82 | $194.98 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $100.00 | Facility | 53 · Discontinued | $67.61 | $79.43 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $58.88 Typical High $74.13 | Facility | 55 · Aftercare only | $50.12 | $58.88 | $74.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.90 Typical High $48.98 | Facility | 56 · Pre-op care only | $33.88 | $38.90 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $389.05 | Professional | None | $338.84 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $50.12 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $426.58 | Professional | None | $346.74 | $380.19 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $616.60 | Professional | None | $234.42 | $331.13 | $616.60 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $380.19 Typical High $562.34 | Facility | None | $331.13 | $380.19 | $562.34 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $416.87 | Professional | None | $331.13 | $331.13 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | None | $380.19 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | None | $331.13 | $331.13 | $346.74 |
Wellmark Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Where Iowa sits
The same service costs 1.5 times more in Arizona 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· 46th of 51
$331
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.