How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $22Professionalmedian $13 · 10th to 90th $11 to $28
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 $12.30 Median $21.88 Typical High $21.88 | Facility | None | $12.30 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.17 Median $10.96 Typical High $10.96 | Facility | 52 · Reduced service | $6.17 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $4.37 Typical High $4.37 | Facility | 53 · Discontinued | $2.45 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.86 Median $3.24 Typical High $3.24 | Facility | 55 · Aftercare only | $1.86 | $3.24 | $3.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.23 Median $2.19 Typical High $2.19 | Facility | 56 · Pre-op care only | $1.23 | $2.19 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $21.88 | Professional | None | $12.02 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $6.03 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $2.40 | $3.72 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.82 Typical High $3.24 | Professional | 55 · Aftercare only | $1.82 | $2.82 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.86 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.20 | $1.86 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $15.49 | Professional | None | $12.30 | $12.88 | $15.49 |
Hally Health Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $67.61 | Professional | None | $9.55 | $17.38 | $67.61 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $21.88 | Facility | None | $12.59 | $15.14 | $21.88 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $28.18 | Professional | None | $11.22 | $13.18 | $28.18 |
Midlands Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $14.79 | Professional | None | $12.88 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $53.70 | Professional | None | $12.30 | $13.18 | $53.70 |
Wellmark Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Where Iowa sits
The same service costs 1.9 times more in Alaska than in Pennsylvania. 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· 30th of 51
$12.59
AK $22.39PA $12.02
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.