How much rates vary
Facilitymedian $63,096 · 10th to 90th $19,953 to $83,176Professionalmedian $30,200 · 10th to 90th $19,953 to $35,481
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 $19,952.62 Median $19,952.62 Typical High $19,952.62 | Facility | None | $19,952.62 | $19,952.62 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $39,810.72 | Professional | None | $19,952.62 | $19,952.62 | $39,810.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10,000.00 Median $10,000.00 Typical High $19,952.62 | Professional | 52 · Reduced service | $10,000.00 | $10,000.00 | $19,952.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,981.07 Median $3,981.07 Typical High $8,128.31 | Professional | 53 · Discontinued | $3,981.07 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,019.95 Median $3,019.95 Typical High $6,025.60 | Professional | 55 · Aftercare only | $3,019.95 | $3,019.95 | $6,025.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,995.26 Median $1,995.26 Typical High $3,981.07 | Professional | 56 · Pre-op care only | $1,995.26 | $1,995.26 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $63,095.73 Median $70,794.58 Typical High $107,151.93 | Facility | None | $63,095.73 | $70,794.58 | $107,151.93 |
Cigna Setting Professional Modifier None Typical Low $26,915.35 Median $32,359.37 Typical High $35,481.34 | Professional | None | $26,915.35 | $32,359.37 | $35,481.34 |
DeanCare Setting Facility Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | None | $15,848.93 | $15,848.93 | $15,848.93 |
Medica Setting Facility Modifier None Typical Low $15,848.93 Median $44,668.36 Typical High $44,668.36 | Facility | None | $15,848.93 | $44,668.36 | $44,668.36 |
Prevea360 Setting Facility Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | None | $15,848.93 | $15,848.93 | $15,848.93 |
United Setting Facility Modifier None Typical Low $46,773.51 Median $46,773.51 Typical High $46,773.51 | Facility | None | $46,773.51 | $46,773.51 | $46,773.51 |
Where Wisconsin sits
The same service costs 524.8 times more in Oklahoma than in Montana. 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· 5th of 51
$30,903
OK $41,687MT $79.43
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.