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 $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.69 Median $0.69 Typical High $0.69 | Facility | 52 · Reduced service | $0.69 | $0.69 | $0.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.17 Typical High $1.38 | Professional | None | $1.10 | $1.17 | $1.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.59 Typical High $0.69 | Professional | 52 · Reduced service | $0.55 | $0.59 | $0.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.23 Typical High $0.28 | Professional | 53 · Discontinued | $0.22 | $0.23 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.18 Typical High $0.21 | Professional | 55 · Aftercare only | $0.17 | $0.18 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.12 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.11 | $0.12 | $0.14 |
Cigna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.41 | Professional | None | $1.23 | $1.23 | $1.41 |
Hally Health Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $1.38 Typical High $1.38 | Facility | None | $1.00 | $1.38 | $1.38 |
Medica Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.38 | Professional | None | $1.15 | $1.15 | $1.38 |
Midlands Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.23 | Professional | None | $1.15 | $1.15 | $1.23 |
Wellmark Setting Facility Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Facility | None | $1.15 | $1.15 | $1.15 |
Where Iowa sits
The same service costs 1.7 times more in Alaska than in Hawaii. 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· 44th of 51
$1.15
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.