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 $2.69 Median $3.16 Typical High $3.89 | Facility | None | $2.69 | $3.16 | $3.89 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.35 Median $1.58 Typical High $1.95 | Facility | 52 · Reduced service | $1.35 | $1.58 | $1.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.54 Median $0.63 Typical High $0.78 | Facility | 53 · Discontinued | $0.54 | $0.63 | $0.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.40 Median $0.47 Typical High $0.59 | Facility | 55 · Aftercare only | $0.40 | $0.47 | $0.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.31 Typical High $0.39 | Facility | 56 · Pre-op care only | $0.27 | $0.31 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.16 Typical High $3.16 | Professional | None | $2.69 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.58 Typical High $1.58 | Professional | 52 · Reduced service | $1.35 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.63 Typical High $0.63 | Professional | 53 · Discontinued | $0.54 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.47 Typical High $0.47 | Professional | 55 · Aftercare only | $0.40 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.27 | $0.31 | $0.31 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $2.95 Typical High $3.39 | Professional | None | $2.75 | $2.95 | $3.39 |
Hally Health Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
Medica Setting Facility Modifier None Typical Low $2.63 Median $3.02 Typical High $3.24 | Facility | None | $2.63 | $3.02 | $3.24 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $2.69 Typical High $5.89 | Professional | None | $2.63 | $2.69 | $5.89 |
Midlands Setting Professional Modifier None Typical Low $2.95 Median $3.39 Typical High $3.39 | Professional | None | $2.95 | $3.39 | $3.39 |
United Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.75 | Professional | None | $2.57 | $2.57 | $2.75 |
Wellmark Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Where Iowa sits
The same service costs 1.7 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· 45th of 51
$2.63
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.