How much rates vary
Facilitymedian $102 · 10th to 90th $102 to $269Professionalmedian $123 · 10th to 90th $95 to $269
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $269.15 | Professional | None | $95.50 | $95.50 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $134.90 | Professional | 52 · Reduced service | $46.77 | $46.77 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $53.70 | Professional | 53 · Discontinued | $19.05 | $19.05 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $40.74 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $26.92 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $26.92 |
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 $104.71 Median $190.55 Typical High $190.55 | Professional | None | $104.71 | $190.55 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $186.21 | Professional | None | $87.10 | $102.33 | $186.21 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $416.87 | Facility | None | $120.23 | $158.49 | $416.87 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $512.86 | Professional | None | $100.00 | $107.15 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $190.55 | Professional | None | $123.03 | $190.55 | $190.55 |
Midlands Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | None | $190.55 | $239.88 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $223.87 | Professional | None | $123.03 | $173.78 | $223.87 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Wellmark Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Where Iowa sits
The same service costs 2.4 times more in Wyoming 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
$123
WY $229NC $95.50
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.