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 $32.36 Median $89.13 Typical High $89.13 | Facility | None | $32.36 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $16.22 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $16.22 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $6.46 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.79 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $4.79 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.24 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $3.24 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $48.98 Typical High $89.13 | Professional | None | $20.42 | $48.98 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $24.55 Typical High $44.67 | Professional | 52 · Reduced service | $10.23 | $24.55 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $9.77 Typical High $17.78 | Professional | 53 · Discontinued | $4.07 | $9.77 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $7.24 Typical High $13.49 | Professional | 55 · Aftercare only | $3.02 | $7.24 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $4.90 Typical High $8.91 | Professional | 56 · Pre-op care only | $2.04 | $4.90 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $66.07 | Professional | None | $20.89 | $25.70 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $53.70 Typical High $204.17 | Professional | None | $29.51 | $53.70 | $204.17 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $72.44 Typical High $89.13 | Facility | None | $29.51 | $72.44 | $89.13 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $45.71 | Professional | None | $24.55 | $24.55 | $45.71 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None | $50.12 | $50.12 | $74.13 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None | $32.36 | $32.36 | $33.88 |
Wellmark Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Where Iowa sits
The same service costs 3.8 times more in Oklahoma than in Delaware. 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· 18th of 51
$32.36
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.