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 $1.05 Median $1.05 Typical High $1.05 | Facility | None | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $3.02 | Professional | None | $1.05 | $1.05 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.52 Typical High $1.51 | Professional | 52 · Reduced service | $0.52 | $0.52 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.21 Typical High $0.60 | Professional | 53 · Discontinued | $0.21 | $0.21 | $0.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.16 Typical High $0.45 | Professional | 55 · Aftercare only | $0.16 | $0.16 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
DeanCare Setting Facility Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Facility | None | $1.05 | $1.05 | $1.05 |
DeanCare Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $57.54 | Professional | None | $53.70 | $54.95 | $57.54 |
Medica Setting Facility Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Facility | None | $1.05 | $1.05 | $1.05 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $125.89 | Professional | None | $66.07 | $107.15 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Facility | None | $1.05 | $1.05 | $1.05 |
United Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $125.89 | Professional | None | $43.65 | $87.10 | $125.89 |
Where Wisconsin sits
The same service costs 177.8 times more in Texas than in Georgia. 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· 20th of 51
$66.07
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.