How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $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 $1.17 Median $2.40 Typical High $2.40 | Facility | None | $1.17 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.59 Median $1.20 Typical High $1.20 | Facility | 52 · Reduced service | $0.59 | $1.20 | $1.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.24 Median $0.48 Typical High $0.48 | Facility | 53 · Discontinued | $0.24 | $0.48 | $0.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.18 Median $0.36 Typical High $0.36 | Facility | 55 · Aftercare only | $0.18 | $0.36 | $0.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.24 Typical High $0.24 | Facility | 56 · Pre-op care only | $0.12 | $0.24 | $0.24 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.78 Typical High $2.40 | Professional | None | $1.10 | $1.78 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.89 Typical High $1.20 | Professional | 52 · Reduced service | $0.55 | $0.89 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.36 Typical High $0.48 | Professional | 53 · Discontinued | $0.22 | $0.36 | $0.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.27 Typical High $0.36 | Professional | 55 · Aftercare only | $0.17 | $0.27 | $0.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.18 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.11 | $0.18 | $0.24 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.41 Typical High $2.09 | Professional | None | $1.12 | $1.41 | $2.09 |
Hally Health Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $5.37 | Professional | None | $1.45 | $1.45 | $5.37 |
Medica Setting Facility Modifier None Typical Low $1.58 Median $1.91 Typical High $3.89 | Facility | None | $1.58 | $1.91 | $3.89 |
Medica Setting Professional Modifier None Typical Low $1.41 Median $1.48 Typical High $4.57 | Professional | None | $1.41 | $1.48 | $4.57 |
Midlands Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.34 | Professional | None | $1.78 | $1.78 | $2.34 |
United Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.26 | Professional | None | $1.17 | $1.17 | $1.26 |
Wellmark Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | None | $1.17 | $1.17 | $1.17 |
Where Iowa sits
The same service costs 3.0 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· 11th of 51
$1.41
OK $3.31DE $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.