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 $75.86 Median $95.50 Typical High $114.82 | Facility | None | $75.86 | $95.50 | $114.82 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $47.86 Typical High $57.54 | Facility | 52 · Reduced service | $38.02 | $47.86 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $22.91 | Facility | 53 · Discontinued | $15.14 | $19.05 | $22.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $14.45 Typical High $17.38 | Facility | 55 · Aftercare only | $11.48 | $14.45 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.55 Typical High $11.48 | Facility | 56 · Pre-op care only | $7.59 | $9.55 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | None | $74.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $11.22 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.41 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $95.50 | Professional | None | $75.86 | $91.20 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | None | $79.43 | $79.43 | $151.36 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $95.50 Typical High $169.82 | Facility | None | $93.33 | $95.50 | $169.82 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | None | $77.62 | $77.62 | $104.71 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | None | $75.86 | $75.86 | $81.28 |
Wellmark Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Where Iowa sits
The same service costs 1.5 times more in Alaska 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· 27th of 51
$77.62
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.