How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $10Professionalmedian $2 · 10th to 90th $2 to $4
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 $2.09 Median $2.09 Typical High $4.68 | Facility | None | $2.09 | $2.09 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.09 Typical High $7.94 | Professional | None | $2.04 | $2.09 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.05 Typical High $3.98 | Professional | 52 · Reduced service | $1.02 | $1.05 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.42 Typical High $1.58 | Professional | 53 · Discontinued | $0.41 | $0.42 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $1.20 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.21 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.20 | $0.21 | $0.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.02 Typical High $3.02 | Professional | None | $2.04 | $3.02 | $3.02 |
CareSource Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.09 | Professional | None | $2.00 | $2.00 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $4.79 Typical High $5.37 | Facility | None | $2.57 | $4.79 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.57 Typical High $3.98 | Professional | None | $2.04 | $2.57 | $3.98 |
DeanCare Setting Facility Modifier None Typical Low $1.66 Median $2.00 Typical High $4.27 | Facility | None | $1.66 | $2.00 | $4.27 |
DeanCare Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.98 | Professional | None | $2.45 | $2.45 | $3.98 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $7.94 Typical High $19.05 | Facility | None | $1.74 | $7.94 | $19.05 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $1.95 Typical High $2.51 | Professional | None | $1.74 | $1.95 | $2.51 |
Network Health Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.80 | Facility | None | $3.39 | $3.39 | $3.80 |
Network Health Setting Professional Modifier None Typical Low $2.34 Median $2.63 Typical High $2.69 | Professional | None | $2.34 | $2.63 | $2.69 |
Prevea360 Setting Facility Modifier None Typical Low $1.66 Median $2.00 Typical High $4.27 | Facility | None | $1.66 | $2.00 | $4.27 |
Prevea360 Setting Professional Modifier None Typical Low $1.35 Median $3.98 Typical High $3.98 | Professional | None | $1.35 | $3.98 | $3.98 |
Quartz Setting Professional Modifier None Typical Low $2.04 Median $3.31 Typical High $5.13 | Professional | None | $2.04 | $3.31 | $5.13 |
The Alliance Setting Professional Modifier None Typical Low $2.57 Median $3.55 Typical High $5.13 | Professional | None | $2.57 | $3.55 | $5.13 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.29 Typical High $2.88 | Professional | None | $2.04 | $2.29 | $2.88 |
Where Wisconsin sits
The same service costs 2.1 times more in Wyoming than in Delaware. 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· 8th of 51
$2.40
WY $4.37DE $2.04
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.