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 $0.46 Median $0.46 Typical High $0.46 | Facility | None | $0.46 | $0.46 | $0.46 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.23 | Facility | 52 · Reduced service | $0.23 | $0.23 | $0.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | 53 · Discontinued | $0.09 | $0.09 | $0.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Facility | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Facility | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier None Typical Low $0.37 Median $0.39 Typical High $0.46 | Professional | None | $0.37 | $0.39 | $0.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.20 Typical High $0.23 | Professional | 52 · Reduced service | $0.19 | $0.20 | $0.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.08 Typical High $0.09 | Professional | 53 · Discontinued | $0.07 | $0.08 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.05 |
Cigna Setting Professional Modifier None Typical Low $0.58 Median $0.58 Typical High $0.66 | Professional | None | $0.58 | $0.58 | $0.66 |
Hally Health Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.09 | Professional | None | $2.69 | $2.69 | $3.09 |
Medica Setting Facility Modifier None Typical Low $0.32 Median $0.65 Typical High $1.86 | Facility | None | $0.32 | $0.65 | $1.86 |
Medica Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.49 | Professional | None | $0.27 | $0.27 | $0.49 |
Midlands Setting Professional Modifier None Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | None | $0.66 | $0.66 | $0.66 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.40 | Professional | None | $0.38 | $0.38 | $0.40 |
Wellmark Setting Facility Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Facility | None | $0.38 | $0.38 | $0.38 |
Where Iowa sits
The same service costs 6.3 times more in Kansas than in 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· 29th of 51
$0.38
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.