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 $0.17 Median $0.17 Typical High $0.38 | Facility | None | $0.17 | $0.17 | $0.38 |
Aetna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $1.00 | Professional | None | $0.17 | $0.17 | $1.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.09 Median $0.09 Typical High $0.50 | Professional | 52 · Reduced service | $0.09 | $0.09 | $0.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.20 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.15 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.03 Median $0.18 Typical High $0.18 | Professional | None | $0.03 | $0.18 | $0.18 |
Cigna Setting Facility Modifier None Typical Low $0.24 Median $0.36 Typical High $0.55 | Facility | None | $0.24 | $0.36 | $0.55 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.18 Typical High $0.20 | Professional | None | $0.17 | $0.18 | $0.20 |
DeanCare Setting Facility Modifier None Typical Low $0.16 Median $0.20 Typical High $0.20 | Facility | None | $0.16 | $0.20 | $0.20 |
Medica Setting Facility Modifier None Typical Low $0.05 Median $0.16 Typical High $0.20 | Facility | None | $0.05 | $0.16 | $0.20 |
Medica Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.23 | Professional | None | $0.17 | $0.17 | $0.23 |
Network Health Setting Facility Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Facility | None | $0.07 | $0.07 | $0.07 |
Prevea360 Setting Facility Modifier None Typical Low $0.16 Median $0.20 Typical High $0.20 | Facility | None | $0.16 | $0.20 | $0.20 |
Quartz Setting Facility Modifier None Typical Low $0.24 Median $0.55 Typical High $0.55 | Facility | None | $0.24 | $0.55 | $0.55 |
Quartz Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
Security Health Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $1.51 | Professional | None | $0.81 | $0.81 | $1.51 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.25 | Professional | None | $0.18 | $0.18 | $0.25 |
Where Wisconsin sits
The same service costs 8.1 times more in Oklahoma 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· 17th of 51
$0.18
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.