How much rates vary
Facilitymedian $52 · 10th to 90th $41 to $151Professionalmedian $46 · 10th to 90th $41 to $132
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $128.82 | Professional | None | $42.66 | $42.66 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $79.43 | Professional | None | $46.77 | $64.57 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $38.90 Median $52.48 Typical High $100.00 | Facility | None | $38.90 | $52.48 | $100.00 |
DeanCare Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $131.83 | Professional | None | $50.12 | $85.11 | $131.83 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $52.48 Typical High $100.00 | Facility | None | $38.90 | $52.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $288.40 Typical High $288.40 | Professional | None | $57.54 | $288.40 | $288.40 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $52.48 | Professional | None | $35.48 | $35.48 | $52.48 |
Prevea360 Setting Facility Modifier None Typical Low $38.90 Median $52.48 Typical High $100.00 | Facility | None | $38.90 | $52.48 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $117.49 | Professional | None | $46.77 | $46.77 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $97.72 | Professional | None | $57.54 | $79.43 | $97.72 |
United Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $117.49 | Professional | None | $48.98 | $75.86 | $117.49 |
Where Wisconsin sits
The same service costs 2.6 times more in North Dakota than in Ohio. 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· 22nd of 51
$46.77
ND $89.13OH $33.88
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.