How much rates vary
Facilitymedian $68 · 10th to 90th $68 to $91Professionalmedian $74 · 10th to 90th $68 to $115
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 $67.61 Median $91.20 Typical High $102.33 | Facility | None | $67.61 | $91.20 | $102.33 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $45.71 Typical High $51.29 | Facility | 52 · Reduced service | $33.88 | $45.71 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $18.20 Typical High $20.42 | Facility | 53 · Discontinued | $13.49 | $18.20 | $20.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $13.80 Typical High $15.49 | Facility | 55 · Aftercare only | $10.23 | $13.80 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.12 Typical High $10.23 | Facility | 56 · Pre-op care only | $6.76 | $9.12 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $91.20 | Professional | None | $67.61 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $10.00 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $6.76 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $144.54 | Professional | None | $67.61 | $85.11 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $199.53 | Professional | None | $53.70 | $75.86 | $199.53 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $158.49 | Facility | None | $74.13 | $89.13 | $158.49 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | None | $74.13 | $74.13 | $109.65 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | None | $95.50 | $95.50 | $162.18 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | None | $67.61 | $67.61 | $72.44 |
Wellmark Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Where Iowa sits
The same service costs 2.0 times more in Oklahoma than in New Mexico. 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· 23rd of 51
$72.44
OK $135NM $67.61
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.