How much rates vary
Facilitymedian $602,560 · 10th to 90th $1 to $776,247Professionalmedian $562,341 · 10th to 90th $524,807 to $954,993
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 $562,341.33 Median $602,559.59 Typical High $794,328.23 | Facility | None | $562,341.33 | $602,559.59 | $794,328.23 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $281,838.29 Median $301,995.17 Typical High $398,107.17 | Facility | 52 · Reduced service | $281,838.29 | $301,995.17 | $398,107.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112,201.85 Median $120,226.44 Typical High $162,181.01 | Facility | 53 · Discontinued | $112,201.85 | $120,226.44 | $162,181.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85,113.80 Median $91,201.08 Typical High $120,226.44 | Facility | 55 · Aftercare only | $85,113.80 | $91,201.08 | $120,226.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $60,255.96 Typical High $79,432.82 | Facility | 56 · Pre-op care only | $56,234.13 | $60,255.96 | $79,432.82 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $602,559.59 | Professional | None | $562,341.33 | $562,341.33 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $301,995.17 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $301,995.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $112,201.85 Typical High $120,226.44 | Professional | 53 · Discontinued | $112,201.85 | $112,201.85 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $91,201.08 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $91,201.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $60,255.96 |
Cigna Setting Professional Modifier None Typical Low $524,807.46 Median $537,031.80 Typical High $660,693.45 | Professional | None | $524,807.46 | $537,031.80 | $660,693.45 |
Hally Health Setting Professional Modifier None Typical Low $457,088.19 Median $537,031.80 Typical High $588,843.66 | Professional | None | $457,088.19 | $537,031.80 | $588,843.66 |
Medica Setting Facility Modifier None Typical Low $1.38 Median $524,807.46 Typical High $758,577.58 | Facility | None | $1.38 | $524,807.46 | $758,577.58 |
Medica Setting Professional Modifier None Typical Low $524,807.46 Median $741,310.24 Typical High $954,992.59 | Professional | None | $524,807.46 | $741,310.24 | $954,992.59 |
Midlands Setting Professional Modifier None Typical Low $501,187.23 Median $562,341.33 Typical High $588,843.66 | Professional | None | $501,187.23 | $562,341.33 | $588,843.66 |
Midlands Setting Professional Modifier None Typical Low $501,187.23 Median $501,187.23 Typical High $676,082.98 | Professional | None | $501,187.23 | $501,187.23 | $676,082.98 |
Oscar Health Setting Professional Modifier None Typical Low $575,439.94 Median $954,992.59 Typical High $1,122,018.45 | Professional | None | $575,439.94 | $954,992.59 | $1,122,018.45 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $549,540.87 Typical High $588,843.66 | Professional | None | $489,778.82 | $549,540.87 | $588,843.66 |
Where Iowa sits
Rates are fairly even across states for this service. 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· 19th of 51
$562,341
MS $676,083NJ $537,032
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.