How much rates vary
Facilitymedian $28 · 10th to 90th $19 to $66Professionalmedian $21 · 10th to 90th $20 to $42
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $19.95 Median $19.95 Typical High $44.67 | Facility | None | $19.95 | $19.95 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $47.86 | Professional | None | $19.95 | $19.95 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $23.99 | Professional | 52 · Reduced service | $10.00 | $10.00 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $9.55 | Professional | 53 · Discontinued | $4.07 | $4.07 | $9.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.14 Median $15.14 Typical High $36.31 | Professional | 54 · Surgery only | $15.14 | $15.14 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $7.24 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $4.79 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $39.81 Typical High $44.67 | Facility | None | $37.15 | $39.81 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $28.18 Typical High $66.07 | Facility | None | $15.49 | $28.18 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
DeanCare Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $19.95 Typical High $19.95 | Facility | None | $19.05 | $19.95 | $19.95 |
Network Health Setting Facility Modifier None Typical Low $18.20 Median $19.50 Typical High $19.50 | Facility | None | $18.20 | $19.50 | $19.50 |
Prevea360 Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Quartz Setting Facility Modifier None Typical Low $28.18 Median $66.07 Typical High $66.07 | Facility | None | $28.18 | $66.07 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Where Wisconsin sits
The same service costs 39.8 times more in Alabama 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· 47th of 51
$20.89
AL $759GA $19.05
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.