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 $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $8.91 | Professional | None | $3.98 | $3.98 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $2.00 Typical High $4.47 | Professional | 52 · Reduced service | $2.00 | $2.00 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $1.82 | Professional | 53 · Discontinued | $0.79 | $0.79 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.60 Typical High $1.35 | Professional | 55 · Aftercare only | $0.60 | $0.60 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.40 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.40 | $0.40 | $0.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $239.88 | Professional | None | $1.91 | $1.91 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
DeanCare Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $10.47 | Professional | None | $8.91 | $10.00 | $10.47 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $89.13 Typical High $89.13 | Facility | None | $3.98 | $89.13 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Prevea360 Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Where Wisconsin sits
The same service costs 3548.1 times more in New York than in Minnesota. 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· 14th of 51
$3.98
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.