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 $114.82 Median $114.82 Typical High $257.04 | Facility | None | $114.82 | $114.82 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $436.52 | Professional | None | $114.82 | $114.82 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $218.78 | Professional | 52 · Reduced service | $57.54 | $57.54 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $87.10 | Professional | 53 · Discontinued | $22.91 | $22.91 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $64.57 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $43.65 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $239.88 Typical High $269.15 | Facility | None | $223.87 | $239.88 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $371.54 | Facility | None | $117.49 | $190.55 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $125.89 Typical High $144.54 | Professional | None | $123.03 | $125.89 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $141.25 | Facility | None | $112.20 | $141.25 | $141.25 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $138.04 | Facility | None | $112.20 | $138.04 | $138.04 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | None | $117.49 | $117.49 | $162.18 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $141.25 | Facility | None | $112.20 | $141.25 | $141.25 |
Quartz Setting Facility Modifier None Typical Low $144.54 Median $371.54 Typical High $371.54 | Facility | None | $144.54 | $371.54 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None | $120.23 | $120.23 | $162.18 |
Where Wisconsin sits
The same service costs 1.7 times more in Arizona than in Hawaii. 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· 36th of 51
$120
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.