How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.37 Median $0.37 Typical High $0.83 | Facility | None | $0.37 | $0.37 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.37 Median $0.37 Typical High $5.01 | Professional | None | $0.37 | $0.37 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.19 Typical High $2.51 | Professional | 52 · Reduced service | $0.19 | $0.19 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $1.00 | Professional | 53 · Discontinued | $0.07 | $0.07 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.76 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $1.82 | Professional | None | $0.27 | $0.27 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $0.42 Median $0.42 Typical High $0.81 | Facility | None | $0.42 | $0.42 | $0.81 |
Cigna Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | None | $0.27 | $0.27 | $0.27 |
DeanCare Setting Facility Modifier None Typical Low $0.26 Median $0.32 Typical High $0.32 | Facility | None | $0.26 | $0.32 | $0.32 |
Medica Setting Facility Modifier None Typical Low $0.26 Median $0.32 Typical High $0.32 | Facility | None | $0.26 | $0.32 | $0.32 |
Medica Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.38 | Professional | None | $0.27 | $0.27 | $0.38 |
Network Health Setting Facility Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Facility | None | $1.48 | $1.48 | $1.48 |
Prevea360 Setting Facility Modifier None Typical Low $0.26 Median $0.32 Typical High $0.32 | Facility | None | $0.26 | $0.32 | $0.32 |
Quartz Setting Facility Modifier None Typical Low $0.36 Median $0.81 Typical High $0.81 | Facility | None | $0.36 | $0.81 | $0.81 |
Quartz Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | None | $0.27 | $0.27 | $0.27 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.52 | Professional | None | $0.38 | $0.38 | $0.52 |
Where Wisconsin sits
The same service costs 6.3 times more in Kansas than in Virginia. 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· 45th of 51
$0.37
KS $1.78VA $0.28
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.