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 $239.88 Median $302.00 Typical High $302.00 | Facility | None | $239.88 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $120.23 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $120.23 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $47.86 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $36.31 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $23.99 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $257.04 | Professional | None | $239.88 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $47.86 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $36.31 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $223.87 Typical High $281.84 | Professional | None | $95.50 | $223.87 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $331.13 | Professional | None | $74.13 | $151.36 | $331.13 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $467.74 Typical High $1,148.15 | Facility | None | $74.13 | $467.74 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $251.19 Typical High $302.00 | Professional | None | $87.10 | $251.19 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | None | $83.18 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $100.00 Median $251.19 Typical High $338.84 | Professional | None | $100.00 | $251.19 | $338.84 |
Wellmark Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Wellmark Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Where Iowa sits
The same service costs 4.1 times more in Alaska than in Montana. 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· 31st of 51
$251
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.