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 $120.23 Median $239.88 Typical High $257.04 | Facility | None | $120.23 | $239.88 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | None | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | None | $165.96 | $165.96 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $457.09 | Professional | None | $120.23 | $141.25 | $457.09 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $588.84 | Facility | None | $158.49 | $204.17 | $588.84 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $870.96 | Professional | None | $60.26 | $70.79 | $870.96 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Oscar Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $77.62 | Professional | None | $60.26 | $70.79 | $77.62 |
Wellmark Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Where Iowa sits
The same service costs 3.4 times more in Hawaii than in New York. 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· 16th of 51
$117
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.