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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $794.33 | Professional | None | $630.96 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | 52 · Reduced service | $316.23 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $79.43 | Professional | None | $53.70 | $67.61 | $79.43 |
DeanCare Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $151.36 | Professional | None | $128.82 | $144.54 | $151.36 |
Where Wisconsin sits
The same service costs 43651.6 times more in Massachusetts than in Louisiana. 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· 3rd of 51
$631
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.