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 $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $144.54 | Professional | None | $0.81 | $0.81 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.41 Typical High $72.44 | Professional | 52 · Reduced service | $0.41 | $0.41 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $28.84 | Professional | 53 · Discontinued | $0.16 | $0.16 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $21.38 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $14.45 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
DeanCare Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
DeanCare Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | None | $60.26 | $66.07 | $70.79 |
Medica Setting Facility Modifier None Typical Low $0.81 Median $79.43 Typical High $158.49 | Facility | None | $0.81 | $79.43 | $158.49 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Where Wisconsin sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 43rd of 51
$0.85
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.