How much rates vary
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 $8,511.38 Median $14,454.40 Typical High $15,135.61 | Facility | None | $8,511.38 | $14,454.40 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $21,877.62 | Professional | None | $15,135.61 | $15,135.61 | $21,877.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,585.78 Median $7,585.78 Typical High $10,715.19 | Professional | 52 · Reduced service | $7,585.78 | $7,585.78 | $10,715.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,019.95 Median $3,019.95 Typical High $4,365.16 | Professional | 53 · Discontinued | $3,019.95 | $3,019.95 | $4,365.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11,481.54 Median $11,481.54 Typical High $16,218.10 | Professional | 54 · Surgery only | $11,481.54 | $11,481.54 | $16,218.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,290.87 Median $2,290.87 Typical High $3,235.94 | Professional | 55 · Aftercare only | $2,290.87 | $2,290.87 | $3,235.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,513.56 Median $1,513.56 Typical High $2,187.76 | Professional | 56 · Pre-op care only | $1,513.56 | $1,513.56 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $15,848.93 Typical High $22,908.68 | Facility | None | $10,964.78 | $15,848.93 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $20,892.96 Median $20,892.96 Typical High $20,892.96 | Professional | None | $20,892.96 | $20,892.96 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $2,691.53 | Facility | None | $645.65 | $954.99 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $8,317.64 Typical High $16,595.87 | Facility | None | $1,318.26 | $8,317.64 | $16,595.87 |
Network Health Setting Facility Modifier None Typical Low $5,128.61 Median $10,964.78 Typical High $17,378.01 | Facility | None | $5,128.61 | $10,964.78 | $17,378.01 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $2,691.53 | Facility | None | $645.65 | $954.99 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
Where Wisconsin sits
The same service costs 6.9 times more in Michigan 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· 2nd of 51
$15,136
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.