How much rates vary
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 $1.10 Median $1.10 Typical High $2.45 | Facility | None | $1.10 | $1.10 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.15 | Professional | None | $1.10 | $1.10 | $1.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.55 Typical High $10.47 | Professional | 52 · Reduced service | $0.55 | $0.55 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $4.17 | Professional | 53 · Discontinued | $0.22 | $0.22 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.17 Typical High $3.16 | Professional | 55 · Aftercare only | $0.17 | $0.17 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $2.09 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $2.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $1.82 Typical High $3.55 | Facility | None | $1.82 | $1.82 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
DeanCare Setting Facility Modifier None Typical Low $1.10 Median $1.38 Typical High $1.38 | Facility | None | $1.10 | $1.38 | $1.38 |
Medica Setting Facility Modifier None Typical Low $1.10 Median $1.38 Typical High $1.38 | Facility | None | $1.10 | $1.38 | $1.38 |
Medica Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.62 | Professional | None | $1.15 | $1.15 | $1.62 |
Network Health Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Prevea360 Setting Facility Modifier None Typical Low $1.10 Median $1.38 Typical High $1.38 | Facility | None | $1.10 | $1.38 | $1.38 |
Quartz Setting Facility Modifier None Typical Low $1.55 Median $3.55 Typical High $3.55 | Facility | None | $1.55 | $3.55 | $3.55 |
Quartz Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.58 | Professional | None | $1.15 | $1.15 | $1.58 |
Where Wisconsin sits
The same service costs 1.7 times more in Alaska 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· 48th of 51
$1.15
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.