How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $97.72 | Professional | None | $7.24 | $7.24 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.63 Typical High $48.98 | Professional | 52 · Reduced service | $3.63 | $3.63 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $19.50 | Professional | 53 · Discontinued | $1.45 | $1.45 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.10 Median $1.10 Typical High $14.45 | Professional | 55 · Aftercare only | $1.10 | $1.10 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.72 Typical High $9.77 | Professional | 56 · Pre-op care only | $0.72 | $0.72 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.13 | Professional | None | $5.01 | $5.01 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $223.87 | Facility | None | $134.90 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $131.83 | Professional | None | $83.18 | $104.71 | $131.83 |
Where Wisconsin sits
The same service costs 125892.5 times more in Massachusetts 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.
Wisconsin· 41st of 51
$7.24
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.