How much rates vary
Facilitymedian $151 · 10th to 90th $120 to $389Professionalmedian $126 · 10th to 90th $120 to $186
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 $120.23 Median $120.23 Typical High $269.15 | Facility | None | $120.23 | $120.23 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $794.33 | Professional | None | $120.23 | $120.23 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $398.11 | Professional | 52 · Reduced service | $60.26 | $60.26 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $162.18 | Professional | 53 · Discontinued | $23.99 | $23.99 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $120.23 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $79.43 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $295.12 | Facility | None | $239.88 | $263.03 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $389.05 | Facility | None | $102.33 | $169.82 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $151.36 | Facility | None | $120.23 | $151.36 | $151.36 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $151.36 | Facility | None | $120.23 | $131.83 | $151.36 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Network Health Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $141.25 | Facility | None | $107.15 | $141.25 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $151.36 | Facility | None | $120.23 | $151.36 | $151.36 |
Quartz Setting Facility Modifier None Typical Low $169.82 Median $389.05 Typical High $389.05 | Facility | None | $169.82 | $389.05 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Where Wisconsin sits
The same service costs 2.3 times more in Texas 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
$126
TX $275HI $120
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.