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 $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $2.00 | Professional | None | $0.15 | $0.15 | $2.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.08 Median $0.08 Typical High $1.00 | Professional | 52 · Reduced service | $0.08 | $0.08 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.40 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.30 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.14 Median $0.25 Typical High $0.25 | Professional | None | $0.14 | $0.25 | $0.25 |
Cigna Setting Facility Modifier None Typical Low $0.89 Median $1.02 Typical High $1.51 | Facility | None | $0.89 | $1.02 | $1.51 |
Cigna Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.49 | Professional | None | $0.30 | $0.30 | $0.49 |
DeanCare Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
DeanCare Setting Professional Modifier None Typical Low $0.60 Median $0.71 Typical High $0.85 | Professional | None | $0.60 | $0.71 | $0.85 |
Medica Setting Facility Modifier None Typical Low $0.15 Median $7.08 Typical High $100.00 | Facility | None | $0.15 | $7.08 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Prevea360 Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Quartz Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
Quartz Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | None | $0.30 | $0.30 | $0.30 |
United Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $2.00 | Professional | None | $0.22 | $0.22 | $2.00 |
Where Wisconsin sits
The same service costs 1318.3 times more in Montana than in Missouri. 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· 21st of 51
$0.30
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.