How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $17Professionalmedian $13 · 10th to 90th $11 to $19
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 $16.60 Median $16.60 Typical High $25.12 | Facility | None | $16.60 | $16.60 | $25.12 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $5.75 Median $8.32 Typical High $8.71 | Facility | 52 · Reduced service | $5.75 | $8.32 | $8.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $3.31 Typical High $3.55 | Facility | 53 · Discontinued | $2.29 | $3.31 | $3.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.74 Median $2.51 Typical High $2.63 | Facility | 55 · Aftercare only | $1.74 | $2.51 | $2.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.66 Typical High $1.74 | Facility | 56 · Pre-op care only | $1.15 | $1.66 | $1.74 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $16.60 | Professional | None | $11.48 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $5.62 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.29 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $1.70 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.66 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.12 | $1.66 | $1.66 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $14.45 | Professional | None | $11.48 | $13.80 | $14.45 |
Hally Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $33.88 | Professional | None | $12.88 | $12.88 | $33.88 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $15.14 Typical High $17.38 | Facility | None | $13.18 | $15.14 | $17.38 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $28.84 | Professional | None | $13.18 | $13.80 | $28.84 |
Midlands Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | None | $15.14 | $16.22 | $16.22 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | None | $11.75 | $11.75 | $12.30 |
Wellmark Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Where Iowa sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 14th of 51
$13.18
AK $20.89GA $11.48
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.