How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $3
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 $1.66 Median $2.69 Typical High $2.69 | Facility | None | $1.66 | $2.69 | $2.69 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.56 Median $1.35 Typical High $1.35 | Facility | 52 · Reduced service | $0.56 | $1.35 | $1.35 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.23 Median $0.54 Typical High $0.54 | Facility | 53 · Discontinued | $0.23 | $0.54 | $0.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.17 Median $0.41 Typical High $0.41 | Facility | 55 · Aftercare only | $0.17 | $0.41 | $0.41 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.27 Typical High $0.27 | Facility | 56 · Pre-op care only | $0.11 | $0.27 | $0.27 |
Aetna Setting Professional Modifier None Typical Low $1.12 Median $1.66 Typical High $2.69 | Professional | None | $1.12 | $1.66 | $2.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.56 Median $0.83 Typical High $1.35 | Professional | 52 · Reduced service | $0.56 | $0.83 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.23 Median $0.33 Typical High $0.54 | Professional | 53 · Discontinued | $0.23 | $0.33 | $0.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.25 Typical High $0.41 | Professional | 55 · Aftercare only | $0.17 | $0.25 | $0.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.17 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.11 | $0.17 | $0.27 |
Cigna Setting Professional Modifier None Typical Low $1.15 Median $1.32 Typical High $1.45 | Professional | None | $1.15 | $1.32 | $1.45 |
Hally Health Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $2.40 | Professional | None | $1.12 | $1.12 | $2.40 |
Medica Setting Facility Modifier None Typical Low $1.12 Median $1.32 Typical High $2.45 | Facility | None | $1.12 | $1.32 | $2.45 |
Medica Setting Professional Modifier None Typical Low $1.12 Median $1.17 Typical High $2.45 | Professional | None | $1.12 | $1.17 | $2.45 |
Midlands Setting Professional Modifier None Typical Low $1.35 Median $1.45 Typical High $1.45 | Professional | None | $1.35 | $1.45 | $1.45 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | None | $1.12 | $1.12 | $1.12 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.17 | Professional | None | $1.10 | $1.10 | $1.17 |
Wellmark Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
Where Iowa sits
The same service costs 2.2 times more in Wyoming 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· 27th of 51
$1.12
WY $2.40RI $1.10
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.