How much rates vary
Facilitymedian $602,560 · 10th to 90th $489,779 to $741,310Professionalmedian $512,861 · 10th to 90th $501,187 to $1,000,000
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 $512,861.38 Median $602,559.59 Typical High $741,310.24 | Facility | None | $512,861.38 | $602,559.59 | $741,310.24 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $257,039.58 Median $301,995.17 Typical High $371,535.23 | Facility | 52 · Reduced service | $257,039.58 | $301,995.17 | $371,535.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102,329.30 Median $120,226.44 Typical High $147,910.84 | Facility | 53 · Discontinued | $102,329.30 | $120,226.44 | $147,910.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75,857.76 Median $91,201.08 Typical High $109,647.82 | Facility | 55 · Aftercare only | $75,857.76 | $91,201.08 | $109,647.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $60,255.96 Typical High $74,131.02 | Facility | 56 · Pre-op care only | $51,286.14 | $60,255.96 | $74,131.02 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $602,559.59 | Professional | None | $512,861.38 | $512,861.38 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $301,995.17 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $301,995.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $120,226.44 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $91,201.08 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $91,201.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $60,255.96 |
Cigna Setting Professional Modifier None Typical Low $478,630.09 Median $489,778.82 Typical High $602,559.59 | Professional | None | $478,630.09 | $489,778.82 | $602,559.59 |
Hally Health Setting Professional Modifier None Typical Low $416,869.38 Median $489,778.82 Typical High $537,031.80 | Professional | None | $416,869.38 | $489,778.82 | $537,031.80 |
Medica Setting Facility Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $758,577.58 | Facility | None | $489,778.82 | $489,778.82 | $758,577.58 |
Medica Setting Professional Modifier None Typical Low $512,861.38 Median $724,435.96 Typical High $1,000,000.00 | Professional | None | $512,861.38 | $724,435.96 | $1,000,000.00 |
Midlands Setting Professional Modifier None Typical Low $501,187.23 Median $512,861.38 Typical High $512,861.38 | Professional | None | $501,187.23 | $512,861.38 | $512,861.38 |
Midlands Setting Professional Modifier None Typical Low $501,187.23 Median $501,187.23 Typical High $575,439.94 | Professional | None | $501,187.23 | $501,187.23 | $575,439.94 |
Oscar Health Setting Professional Modifier None Typical Low $524,807.46 Median $870,963.59 Typical High $1,047,128.55 | Professional | None | $524,807.46 | $870,963.59 | $1,047,128.55 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $446,683.59 Median $524,807.46 Typical High $602,559.59 | Professional | None | $446,683.59 | $524,807.46 | $602,559.59 |
Where Iowa sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 20th of 51
$512,861
TX $1,000,000NJ $489,779
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.