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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | None | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | 52 · Reduced service | $22.91 | $22.91 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $11.48 | Professional | 53 · Discontinued | $9.12 | $9.12 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $8.51 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $5.75 |
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 $63.10 Median $190.55 Typical High $190.55 | Professional | None | $63.10 | $190.55 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $275.42 | Professional | None | $151.36 | $151.36 | $275.42 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $61.66 Typical High $204.17 | Facility | None | $18.62 | $61.66 | $204.17 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $1,584.89 Typical High $1,621.81 | Professional | None | $181.97 | $1,584.89 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $190.55 Typical High $190.55 | Professional | None | $63.10 | $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 $63.10 Median $63.10 Typical High $229.09 | Professional | None | $63.10 | $63.10 | $229.09 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Wellmark Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Where Iowa sits
The same service costs 5.1 times more in North Dakota 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· 2nd of 51
$191
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.