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 $154.88 Median $154.88 Typical High $338.84 | Facility | None | $154.88 | $154.88 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $478.63 | Professional | None | $154.88 | $154.88 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $239.88 | Professional | 52 · Reduced service | $77.62 | $77.62 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $95.50 | Professional | 53 · Discontinued | $30.90 | $30.90 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $70.79 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $47.86 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $501.19 | Facility | None | $162.18 | $251.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | None | $162.18 | $177.83 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Facility | None | $162.18 | $162.18 | $190.55 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $190.55 | Facility | None | $154.88 | $190.55 | $190.55 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $190.55 | Facility | None | $154.88 | $190.55 | $190.55 |
Quartz Setting Facility Modifier None Typical Low $218.78 Median $501.19 Typical High $501.19 | Facility | None | $218.78 | $501.19 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Where Wisconsin sits
The same service costs 1.7 times more in Arizona than in Texas. 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· 11th of 51
$162
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.