How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $4Professionalmedian $4 · 10th to 90th $3 to $4
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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | 52 · Reduced service | $2.14 | $2.14 | $2.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | 53 · Discontinued | $0.85 | $0.85 | $0.85 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.63 Median $0.63 Typical High $0.63 | Facility | 55 · Aftercare only | $0.63 | $0.63 | $0.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | 56 · Pre-op care only | $0.42 | $0.42 | $0.42 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $4.27 | Professional | None | $3.39 | $3.63 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.82 Typical High $2.14 | Professional | 52 · Reduced service | $1.70 | $1.82 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.72 Typical High $0.85 | Professional | 53 · Discontinued | $0.68 | $0.72 | $0.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.51 Median $0.54 Typical High $0.63 | Professional | 55 · Aftercare only | $0.51 | $0.54 | $0.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.36 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.34 | $0.36 | $0.42 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $3.39 | Professional | None | $2.63 | $3.31 | $3.39 |
Hally Health Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $6.17 | Professional | None | $5.25 | $6.03 | $6.17 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $4.07 Typical High $4.07 | Facility | None | $1.00 | $4.07 | $4.07 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.72 | Professional | None | $3.39 | $3.39 | $3.72 |
Midlands Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | None | $3.55 | $3.55 | $3.72 |
Wellmark Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Where Iowa sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 39th of 51
$3.55
AK $5.75OK $2.82
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.