How much rates vary
Facilitymedian $676,083 · 10th to 90th $537,032 to $851,138Professionalmedian $588,844 · 10th to 90th $537,032 to $977,237
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 $575,439.94 Median $676,082.98 Typical High $851,138.04 | Facility | None | $575,439.94 | $676,082.98 | $851,138.04 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $288,403.15 Median $331,131.12 Typical High $426,579.52 | Facility | 52 · Reduced service | $288,403.15 | $331,131.12 | $426,579.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114,815.36 Median $134,896.29 Typical High $169,824.37 | Facility | 53 · Discontinued | $114,815.36 | $134,896.29 | $169,824.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87,096.36 Median $100,000.00 Typical High $125,892.54 | Facility | 55 · Aftercare only | $87,096.36 | $100,000.00 | $125,892.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $67,608.30 Typical High $85,113.80 | Facility | 56 · Pre-op care only | $57,543.99 | $67,608.30 | $85,113.80 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $676,082.98 | Professional | None | $575,439.94 | $575,439.94 | $676,082.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $331,131.12 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $331,131.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $134,896.29 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $134,896.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $100,000.00 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $100,000.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $67,608.30 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $67,608.30 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $676,082.98 | Professional | None | $549,540.87 | $549,540.87 | $676,082.98 |
Hally Health Setting Professional Modifier None Typical Low $478,630.09 Median $562,341.33 Typical High $616,595.00 | Professional | None | $478,630.09 | $562,341.33 | $616,595.00 |
Medica Setting Facility Modifier None Typical Low $524,807.46 Median $537,031.80 Typical High $794,328.23 | Facility | None | $524,807.46 | $537,031.80 | $794,328.23 |
Medica Setting Professional Modifier None Typical Low $537,031.80 Median $776,247.12 Typical High $977,237.22 | Professional | None | $537,031.80 | $776,247.12 | $977,237.22 |
Midlands Setting Professional Modifier None Typical Low $537,031.80 Median $588,843.66 Typical High $588,843.66 | Professional | None | $537,031.80 | $588,843.66 | $588,843.66 |
Midlands Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $660,693.45 | Professional | None | $537,031.80 | $537,031.80 | $660,693.45 |
Oscar Health Setting Professional Modifier None Typical Low $602,559.59 Median $1,000,000.00 Typical High $1,202,264.43 | Professional | None | $602,559.59 | $1,000,000.00 | $1,202,264.43 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $512,861.38 Median $575,439.94 Typical High $602,559.59 | Professional | None | $512,861.38 | $575,439.94 | $602,559.59 |
Where Iowa sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 18th of 51
$588,844
TX $977,237MN $562,341
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.