How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $22Professionalmedian $5 · 10th to 90th $3 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 $3.24 Median $21.88 Typical High $21.88 | Facility | None | $3.24 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.62 Median $10.72 Typical High $10.72 | Facility | 52 · Reduced service | $1.62 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $4.37 Typical High $4.37 | Facility | 53 · Discontinued | $0.65 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.49 Median $3.24 Typical High $3.24 | Facility | 55 · Aftercare only | $0.49 | $3.24 | $3.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.33 Median $2.14 Typical High $2.14 | Facility | 56 · Pre-op care only | $0.33 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $21.88 | Professional | None | $3.02 | $3.47 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $2.45 Typical High $10.72 | Professional | 52 · Reduced service | $1.51 | $2.45 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $1.00 Typical High $4.37 | Professional | 53 · Discontinued | $0.62 | $1.00 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.74 Typical High $3.24 | Professional | 55 · Aftercare only | $0.46 | $0.74 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.49 Typical High $2.14 | Professional | 56 · Pre-op care only | $0.30 | $0.49 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.80 Typical High $10.23 | Professional | None | $3.09 | $3.80 | $10.23 |
Hally Health Setting Professional Modifier None Typical Low $4.68 Median $13.18 Typical High $28.18 | Professional | None | $4.68 | $13.18 | $28.18 |
Medica Setting Facility Modifier None Typical Low $5.50 Median $7.24 Typical High $21.88 | Facility | None | $5.50 | $7.24 | $21.88 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $9.55 | Professional | None | $5.50 | $5.50 | $9.55 |
Midlands Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $11.48 | Professional | None | $4.68 | $4.68 | $11.48 |
United Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.47 | Professional | None | $3.24 | $3.24 | $3.47 |
Wellmark Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Where Iowa sits
The same service costs 6.0 times more in Wyoming 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· 13th of 51
$3.80
WY $18.20GA $3.02
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.