How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $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 $0.85 Median $3.47 Typical High $3.47 | Facility | None | $0.85 | $3.47 | $3.47 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.43 Median $1.74 Typical High $1.74 | Facility | 52 · Reduced service | $0.43 | $1.74 | $1.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.17 Median $0.71 Typical High $0.71 | Facility | 53 · Discontinued | $0.17 | $0.71 | $0.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.13 Median $0.52 Typical High $0.52 | Facility | 55 · Aftercare only | $0.13 | $0.52 | $0.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.35 Typical High $0.35 | Facility | 56 · Pre-op care only | $0.09 | $0.35 | $0.35 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $1.29 Typical High $3.47 | Professional | None | $0.76 | $1.29 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.65 Typical High $1.74 | Professional | 52 · Reduced service | $0.38 | $0.65 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.26 Typical High $0.71 | Professional | 53 · Discontinued | $0.15 | $0.26 | $0.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.19 Typical High $0.52 | Professional | 55 · Aftercare only | $0.11 | $0.19 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.13 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.08 | $0.13 | $0.35 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.98 Typical High $1.38 | Professional | None | $0.79 | $0.98 | $1.38 |
Hally Health Setting Professional Modifier None Typical Low $0.79 Median $1.45 Typical High $3.16 | Professional | None | $0.79 | $1.45 | $3.16 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $1.38 Typical High $3.47 | Facility | None | $1.00 | $1.38 | $3.47 |
Medica Setting Professional Modifier None Typical Low $0.81 Median $0.83 Typical High $3.16 | Professional | None | $0.81 | $0.83 | $3.16 |
Midlands Setting Professional Modifier None Typical Low $0.74 Median $0.74 Typical High $1.58 | Professional | None | $0.74 | $0.74 | $1.58 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.93 | Professional | None | $0.85 | $0.85 | $0.93 |
Wellmark Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | None | $0.85 | $0.85 | $0.85 |
Where Iowa sits
The same service costs 3.9 times more in Wyoming 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· 32nd of 51
$0.85
WY $2.95DE $0.76
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.