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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 52 · Reduced service | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | 53 · Discontinued | $3.02 | $3.02 | $3.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | 55 · Aftercare only | $2.24 | $2.24 | $2.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | 56 · Pre-op care only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $15.14 | Professional | None | $2.29 | $2.29 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.15 Typical High $7.59 | Professional | 52 · Reduced service | $1.15 | $1.15 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.46 Typical High $3.02 | Professional | 53 · Discontinued | $0.46 | $0.46 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $2.24 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $1.51 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $223.87 Typical High $269.15 | Facility | None | $19.50 | $223.87 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $190.55 Typical High $190.55 | Professional | None | $9.33 | $190.55 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $54.95 | Professional | None | $2.51 | $2.51 | $54.95 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $15.14 Typical High $20.89 | Facility | None | $4.17 | $15.14 | $20.89 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $2.63 Typical High $5,370.32 | Professional | None | $2.45 | $2.63 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $11.22 Median $190.55 Typical High $190.55 | Professional | None | $11.22 | $190.55 | $190.55 |
Midlands Setting Facility Modifier None Typical Low $19.50 Median $208.93 Typical High $269.15 | Facility | None | $19.50 | $208.93 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | None | $11.22 | $11.22 | $15.49 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Wellmark Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Wellmark Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Where Iowa sits
The same service costs 50.1 times more in Massachusetts than in Indiana. 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· 42nd of 51
$10.96
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.