How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.89 Median $0.89 Typical High $2.29 | Facility | None | $0.89 | $0.89 | $2.29 |
Aetna Setting Professional Modifier None Typical Low $0.87 Median $0.89 Typical High $8.91 | Professional | None | $0.87 | $0.89 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.44 Median $0.45 Typical High $4.47 | Professional | 52 · Reduced service | $0.44 | $0.45 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.18 Typical High $1.82 | Professional | 53 · Discontinued | $0.17 | $0.18 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $1.35 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.07 Median $1.07 Typical High $1.07 | Facility | None | $1.07 | $1.07 | $1.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.10 | Professional | None | $0.85 | $0.85 | $1.10 |
Cigna Setting Facility Modifier None Typical Low $1.12 Median $1.51 Typical High $2.63 | Facility | None | $1.12 | $1.51 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.12 | Professional | None | $0.85 | $0.85 | $1.12 |
DeanCare Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $1.41 | Facility | None | $0.79 | $0.79 | $1.41 |
DeanCare Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Medica Setting Facility Modifier None Typical Low $0.74 Median $0.74 Typical High $1.41 | Facility | None | $0.74 | $0.74 | $1.41 |
Medica Setting Professional Modifier None Typical Low $0.74 Median $0.74 Typical High $1.00 | Professional | None | $0.74 | $0.74 | $1.00 |
Network Health Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.45 | Facility | None | $1.29 | $1.29 | $1.45 |
Network Health Setting Professional Modifier None Typical Low $0.56 Median $0.83 Typical High $1.02 | Professional | None | $0.56 | $0.83 | $1.02 |
Prevea360 Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $1.41 | Facility | None | $0.79 | $0.79 | $1.41 |
Prevea360 Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Quartz Setting Professional Modifier None Typical Low $0.78 Median $1.23 Typical High $1.70 | Professional | None | $0.78 | $1.23 | $1.70 |
Quartz Setting Facility Modifier None Typical Low $1.12 Median $2.63 Typical High $2.63 | Facility | None | $1.12 | $2.63 | $2.63 |
Quartz Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Security Health Setting Professional Modifier None Typical Low $1.15 Median $1.20 Typical High $1.45 | Professional | None | $1.15 | $1.20 | $1.45 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.38 | Professional | None | $1.00 | $1.00 | $1.38 |
Where Wisconsin sits
The same service costs 3.7 times more in North Carolina 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· 26th of 51
$0.89
NC $3.16VA $0.85
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.