How much rates vary
Facilitymedian $42 · 10th to 90th $29 to $42Professionalmedian $42 · 10th to 90th $19 to $60
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $60.26 | Professional | None | $28.84 | $41.69 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $20.89 Typical High $30.20 | Professional | 52 · Reduced service | $14.13 | $20.89 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.32 Typical High $12.02 | Professional | 53 · Discontinued | $5.75 | $8.32 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $6.17 Typical High $8.91 | Professional | 55 · Aftercare only | $4.27 | $6.17 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.17 Typical High $6.03 | Professional | 56 · Pre-op care only | $2.82 | $4.17 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
DeanCare Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
DeanCare Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $20.42 | Professional | None | $17.38 | $19.50 | $20.42 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $1,548.82 Typical High $1,548.82 | Facility | None | $28.84 | $1,548.82 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Prevea360 Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Where Wisconsin sits
The same service costs 91.2 times more in Montana than in Arkansas. 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
$41.69
MT $79.43AR $0.87
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.