How much rates vary
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 $66.07 Median $66.07 Typical High $83.18 | Facility | None | $66.07 | $66.07 | $83.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $41.69 | Facility | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.98 | Facility | 53 · Discontinued | $13.18 | $13.18 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $12.59 | Facility | 55 · Aftercare only | $10.00 | $10.00 | $12.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $8.32 | Facility | 56 · Pre-op care only | $6.61 | $6.61 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | None | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $13.18 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.61 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $70.79 | Professional | None | $56.23 | $67.61 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $60.26 | Professional | None | $44.67 | $56.23 | $60.26 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $66.07 Typical High $83.18 | Facility | None | $57.54 | $66.07 | $83.18 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $128.82 | Professional | None | $66.07 | $72.44 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | None | $75.86 | $75.86 | $79.43 |
Wellmark Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Where Iowa sits
The same service costs 25.1 times more in Alabama than in Nebraska. 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· 30th of 51
$75.86
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.