How much rates vary
Facilitymedian $54 · 10th to 90th $42 to $155Professionalmedian $43 · 10th to 90th $8 to $78
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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $77.62 | Professional | None | $42.66 | $42.66 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $38.90 | Professional | 52 · Reduced service | $21.38 | $21.38 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $15.49 | Professional | 53 · Discontinued | $8.51 | $8.51 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $11.48 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $48.98 | Professional | None | $33.88 | $35.48 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $199.53 | Facility | None | $117.49 | $131.83 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $44.67 Typical High $81.28 | Professional | None | $7.59 | $44.67 | $81.28 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $50.12 Typical High $91.20 | Facility | None | $40.74 | $50.12 | $91.20 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $50.12 Typical High $91.20 | Facility | None | $40.74 | $50.12 | $91.20 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $50.12 Typical High $91.20 | Facility | None | $40.74 | $50.12 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $53.70 | Professional | None | $21.88 | $28.18 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Where Wisconsin sits
The same service costs 204.2 times more in Montana than in Kansas. 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· 8th of 51
$42.66
MT $79.43KS $0.39
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.