How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.02 Median $1.07 Typical High $1.55 | Facility | None | $1.02 | $1.07 | $1.55 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.51 Median $0.54 Typical High $0.78 | Facility | 52 · Reduced service | $0.51 | $0.54 | $0.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.20 Median $0.22 Typical High $0.31 | Facility | 53 · Discontinued | $0.20 | $0.22 | $0.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.15 Median $0.16 Typical High $0.23 | Facility | 55 · Aftercare only | $0.15 | $0.16 | $0.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.15 | Facility | 56 · Pre-op care only | $0.10 | $0.11 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.07 Typical High $1.15 | Professional | None | $1.00 | $1.07 | $1.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.54 Typical High $0.54 | Professional | 52 · Reduced service | $0.51 | $0.54 | $0.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.22 Typical High $0.22 | Professional | 53 · Discontinued | $0.20 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.11 | $0.11 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $1.20 Typical High $1.26 | Professional | None | $1.00 | $1.20 | $1.26 |
Hally Health Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $2.29 | Professional | None | $1.00 | $1.00 | $2.29 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $1.17 Typical High $1.41 | Facility | None | $1.00 | $1.17 | $1.41 |
Medica Setting Professional Modifier None Typical Low $1.00 Median $1.17 Typical High $2.45 | Professional | None | $1.00 | $1.17 | $2.45 |
Midlands Setting Professional Modifier None Typical Low $1.20 Median $1.29 Typical High $1.29 | Professional | None | $1.20 | $1.29 | $1.29 |
United Setting Facility Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | None | $1.00 | $1.00 | $1.00 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $1.20 | Professional | None | $1.02 | $1.07 | $1.20 |
Wellmark Setting Facility Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Facility | None | $1.02 | $1.02 | $1.02 |
Where Iowa sits
The same service costs 1.6 times more in Arizona than in New Jersey. 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· 26th of 51
$1.07
AZ $1.58NJ $1.00
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.