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 $45.71 Median $45.71 Typical High $58.88 | Facility | None | $45.71 | $45.71 | $58.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $29.51 | Facility | 52 · Reduced service | $22.91 | $22.91 | $29.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $8.71 | Facility | 55 · Aftercare only | $6.92 | $6.92 | $8.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $5.89 | Facility | 56 · Pre-op care only | $4.57 | $4.57 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | None | $45.71 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $22.91 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $6.92 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.57 | $5.89 | $5.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $177.83 | Professional | None | $63.10 | $74.13 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $208.93 Typical High $309.03 | Facility | None | $181.97 | $208.93 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $154.88 | Professional | None | $75.86 | $120.23 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $30.90 Median $58.88 Typical High $112.20 | Facility | None | $30.90 | $58.88 | $112.20 |
DeanCare Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $173.78 | Professional | None | $74.13 | $120.23 | $173.78 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $58.88 Typical High $112.20 | Facility | None | $30.90 | $58.88 | $112.20 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $346.74 Typical High $426.58 | Professional | None | $107.15 | $346.74 | $426.58 |
Network Health Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $144.54 | Professional | None | $104.71 | $128.82 | $144.54 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $58.88 Typical High $112.20 | Facility | None | $30.90 | $58.88 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $162.18 | Professional | None | $61.66 | $93.33 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $141.25 | Professional | None | $58.88 | $75.86 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None | $64.57 | $64.57 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $169.82 | Professional | None | $51.29 | $100.00 | $169.82 |
United Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $186.21 | Professional | None | $67.61 | $112.20 | $186.21 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 9th of 51
$81.28
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.