How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | None | $245.47 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $24.55 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $288.40 | Professional | None | $22.39 | $22.39 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $1,096.48 Typical High $1,621.81 | Professional | None | $151.36 | $1,096.48 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $812.83 Typical High $1,659.59 | Facility | None | $281.84 | $812.83 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | None | $239.88 | $281.84 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | None | $251.19 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,737.80 | Facility | None | $812.83 | $1,380.38 | $1,737.80 |
Wellmark Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Where Iowa sits
The same service costs 25.1 times more in North Dakota than in West Virginia. 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· 3rd of 51
$525
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.