How much rates vary
Facilitymedian $69 · 10th to 90th $60 to $155Professionalmedian $81 · 10th to 90th $63 to $191
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 55 · Aftercare only | $8.91 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $69.18 | Professional | None | $60.26 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $12.88 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.55 Typical High $10.23 | Professional | 55 · Aftercare only | $8.91 | $9.55 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.31 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.03 | $6.31 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $269.15 | Facility | None | $190.55 | $239.88 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $190.55 Typical High $190.55 | Professional | None | $70.79 | $190.55 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $151.36 | Professional | None | $61.66 | $69.18 | $151.36 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $302.00 | Facility | None | $60.26 | $81.28 | $302.00 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $302.00 | Professional | None | $69.18 | $70.79 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $190.55 | Professional | None | $95.50 | $190.55 | $190.55 |
Midlands Setting Facility Modifier None Typical Low $25.12 Median $223.87 Typical High $269.15 | Facility | None | $25.12 | $223.87 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | None | $95.50 | $95.50 | $102.33 |
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Wellmark Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Where Iowa sits
The same service costs 2.7 times more in North Dakota than in North Carolina. 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· 36th of 51
$70.79
ND $141NC $52.48
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.