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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | 55 · Aftercare only | $2.45 | $2.45 | $2.45 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.62 | Facility | 56 · Pre-op care only | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $16.22 | Professional | None | $13.18 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.92 Typical High $8.13 | Professional | 52 · Reduced service | $6.61 | $6.92 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.75 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $2.75 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.09 Typical High $2.45 | Professional | 55 · Aftercare only | $1.95 | $2.09 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.38 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.32 | $1.38 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $19.05 | Professional | None | $15.49 | $15.49 | $19.05 |
Hally Health Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $37.15 | Professional | None | $31.62 | $36.31 | $37.15 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $16.22 Typical High $35.48 | Facility | None | $1.00 | $16.22 | $35.48 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.45 | Professional | None | $13.49 | $13.49 | $14.45 |
Wellmark Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Where Iowa sits
The same service costs 9.1 times more in Alabama 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· 42nd of 51
$13.49
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.