How much rates vary
Facilitymedian $95 · 10th to 90th $72 to $309Professionalmedian $126 · 10th to 90th $81 to $302
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 $72.44 Median $72.44 Typical High $87.10 | Facility | None | $72.44 | $72.44 | $87.10 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $43.65 | Facility | 52 · Reduced service | $36.31 | $36.31 | $43.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $13.18 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $8.71 | Facility | 56 · Pre-op care only | $7.24 | $7.24 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $87.10 | Professional | None | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $10.72 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.24 | $8.71 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $275.42 | Professional | None | $97.72 | $114.82 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $457.09 | Facility | None | $269.15 | $309.03 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $234.42 | Professional | None | $114.82 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $204.17 | Facility | None | $77.62 | $100.00 | $204.17 |
DeanCare Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $257.04 | Professional | None | $117.49 | $181.97 | $257.04 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $204.17 | Facility | None | $77.62 | $100.00 | $204.17 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $537.03 Typical High $630.96 | Professional | None | $158.49 | $537.03 | $630.96 |
Network Health Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $218.78 | Professional | None | $162.18 | $194.98 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $204.17 | Facility | None | $77.62 | $100.00 | $204.17 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $239.88 | Professional | None | $97.72 | $141.25 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $223.87 | Professional | None | $93.33 | $114.82 | $223.87 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $263.03 | Professional | None | $81.28 | $147.91 | $263.03 |
United Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $275.42 | Professional | None | $102.33 | $169.82 | $275.42 |
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
$123
AK $195KY $75.86
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.