How much rates vary
Facilitymedian $21 · 10th to 90th $19 to $38Professionalmedian $21 · 10th to 90th $17 to $38
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 $19.50 Median $38.02 Typical High $38.02 | Facility | None | $19.50 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.77 Median $19.05 Typical High $19.05 | Facility | 52 · Reduced service | $9.77 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $7.76 Typical High $7.76 | Facility | 53 · Discontinued | $3.89 | $7.76 | $7.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.88 Median $5.75 Typical High $5.75 | Facility | 55 · Aftercare only | $2.88 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.95 Median $3.80 Typical High $3.80 | Facility | 56 · Pre-op care only | $1.95 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $29.51 Typical High $38.02 | Professional | None | $18.20 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $14.79 Typical High $19.05 | Professional | 52 · Reduced service | $9.12 | $14.79 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $5.89 Typical High $7.76 | Professional | 53 · Discontinued | $3.63 | $5.89 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $4.37 Typical High $5.75 | Professional | 55 · Aftercare only | $2.69 | $4.37 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.95 Typical High $3.80 | Professional | 56 · Pre-op care only | $1.82 | $2.95 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $22.91 | Professional | None | $18.20 | $21.88 | $22.91 |
Hally Health Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $95.50 | Professional | None | $18.62 | $23.44 | $95.50 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $21.38 Typical High $38.02 | Facility | None | $17.38 | $21.38 | $38.02 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $26.92 | Professional | None | $17.38 | $20.42 | $26.92 |
Midlands Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | None | $21.88 | $23.99 | $23.99 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $22.91 | Professional | None | $19.50 | $20.42 | $22.91 |
Wellmark Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Where Iowa sits
The same service costs 2.1 times more in Oklahoma than in Florida. 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· 15th of 51
$21.38
OK $38.02FL $18.20
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.