How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $501.19 Median $1,148.15 Typical High $2,041.74 | Facility | Global | $501.19 | $1,148.15 | $2,041.74 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $933.25 Typical High $933.25 | Facility | 50 · Both sides | $776.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $380.19 Typical High $912.01 | Facility | 54 · Surgery only | $354.81 | $380.19 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $75.86 Typical High $181.97 | Facility | 55 · Aftercare only | $70.79 | $75.86 | $181.97 |
Aetna Setting Professional Modifier Global Typical Low $269.15 Median $371.54 Typical High $1,621.81 | Professional | Global | $269.15 | $371.54 | $1,621.81 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $1.07 Median $1,000.00 Typical High $1,905.46 | Professional | 50 · Both sides | $1.07 | $1,000.00 | $1,905.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $354.81 Typical High $1,148.15 | Professional | 54 · Surgery only | $213.80 | $354.81 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $67.61 Typical High $194.98 | Professional | 55 · Aftercare only | $40.74 | $67.61 | $194.98 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,584.89 Median $3,090.30 Typical High $5,754.40 | Facility | Global | $1,584.89 | $3,090.30 | $5,754.40 |
Anthem BCBS Setting Professional Modifier Global Typical Low $323.59 Median $602.56 Typical High $1,479.11 | Professional | Global | $323.59 | $602.56 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $912.01 Typical High $2,238.72 | Professional | 50 · Both sides | $489.78 | $912.01 | $2,238.72 |
CareSource Setting Professional Modifier Global Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | Global | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier Global Typical Low $891.25 Median $1,047.13 Typical High $1,659.59 | Facility | Global | $891.25 | $1,047.13 | $1,659.59 |
Cigna Setting Professional Modifier Global Typical Low $354.81 Median $812.83 Typical High $1,230.27 | Professional | Global | $354.81 | $812.83 | $1,230.27 |
DeanCare Setting Facility Modifier Global Typical Low $316.23 Median $588.84 Typical High $3,981.07 | Facility | Global | $316.23 | $588.84 | $3,981.07 |
DeanCare Setting Professional Modifier Global Typical Low $588.84 Median $831.76 Typical High $977.24 | Professional | Global | $588.84 | $831.76 | $977.24 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,230.27 Typical High $1,479.11 | Professional | 50 · Both sides | $870.96 | $1,230.27 | $1,479.11 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $660.69 Typical High $794.33 | Professional | 54 · Surgery only | $467.74 | $660.69 | $794.33 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $165.96 Typical High $199.53 | Professional | 55 · Aftercare only | $117.49 | $165.96 | $199.53 |
Medica Setting Facility Modifier Global Typical Low $316.23 Median $602.56 Typical High $3,981.07 | Facility | Global | $316.23 | $602.56 | $3,981.07 |
Medica Setting Professional Modifier Global Typical Low $338.84 Median $776.25 Typical High $2,511.89 | Professional | Global | $338.84 | $776.25 | $2,511.89 |
Medica Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,290.87 Typical High $3,981.07 | Professional | 50 · Both sides | $2,187.76 | $2,290.87 | $3,981.07 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $426.58 | Professional | Global | $32.36 | $33.11 | $426.58 |
Network Health Setting Facility Modifier Global Typical Low $645.65 Median $2,951.21 Typical High $3,235.94 | Facility | Global | $645.65 | $2,951.21 | $3,235.94 |
Network Health Setting Professional Modifier Global Typical Low $457.09 Median $954.99 Typical High $1,380.38 | Professional | Global | $457.09 | $954.99 | $1,380.38 |
Prevea360 Setting Facility Modifier Global Typical Low $295.12 Median $457.09 Typical High $707.95 | Facility | Global | $295.12 | $457.09 | $707.95 |
Quartz Setting Professional Modifier Global Typical Low $446.68 Median $776.25 Typical High $1,096.48 | Professional | Global | $446.68 | $776.25 | $1,096.48 |
Quartz Setting Facility Modifier Global Typical Low $1,174.90 Median $1,995.26 Typical High $1,995.26 | Facility | Global | $1,174.90 | $1,995.26 | $1,995.26 |
Quartz Setting Facility Modifier 54 · Surgery only Typical Low $812.83 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $812.83 | $1,348.96 | $1,348.96 |
Quartz Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $177.83 | $288.40 | $288.40 |
Quartz Setting Professional Modifier Global Typical Low $501.19 Median $1,621.81 Typical High $2,398.83 | Professional | Global | $501.19 | $1,621.81 | $2,398.83 |
Security Health Setting Professional Modifier Global Typical Low $1,445.44 Median $1,445.44 Typical High $1,584.89 | Professional | Global | $1,445.44 | $1,445.44 | $1,584.89 |
Security Health Setting Professional Modifier Global Typical Low $1,412.54 Median $3,019.95 Typical High $3,235.94 | Professional | Global | $1,412.54 | $3,019.95 | $3,235.94 |
United Setting Facility Modifier Global Typical Low $1,479.11 Median $2,818.38 Typical High $4,365.16 | Facility | Global | $1,479.11 | $2,818.38 | $4,365.16 |
United Setting Professional Modifier Global Typical Low $95.50 Median $870.96 Typical High $1,995.26 | Professional | Global | $95.50 | $870.96 | $1,995.26 |
Where Wisconsin sits
The same service costs 2.8 times more in Alaska 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.
Wisconsin· 5th of 51
$550
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.