How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $282Professionalmedian $120 · 10th to 90th $91 to $282
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $281.84 | Professional | None | $91.20 | $91.20 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $141.25 | Professional | 52 · Reduced service | $45.71 | $45.71 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $56.23 | Professional | 53 · Discontinued | $18.20 | $18.20 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $42.66 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $28.18 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $28.18 |
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 $97.72 Median $190.55 Typical High $288.40 | Professional | None | $97.72 | $190.55 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $177.83 | Professional | None | $83.18 | $97.72 | $177.83 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $281.84 Typical High $323.59 | Facility | None | $51.29 | $281.84 | $323.59 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $1,071.52 | Professional | None | $100.00 | $102.33 | $1,071.52 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $302.00 | Professional | None | $190.55 | $190.55 | $302.00 |
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 $141.25 Median $141.25 Typical High $288.40 | Professional | None | $141.25 | $141.25 | $288.40 |
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Wellmark Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Where Iowa sits
The same service costs 2.5 times more in Wyoming than in New Jersey. 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
$112
WY $240NJ $97.72
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.