How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.62 Median $0.62 Typical High $1.38 | Facility | None | $0.62 | $0.62 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $3.98 | Professional | None | $0.62 | $0.62 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.31 Median $0.31 Typical High $2.00 | Professional | 52 · Reduced service | $0.31 | $0.31 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.79 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.60 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $4.37 Typical High $4.79 | Facility | None | $3.98 | $4.37 | $4.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | None | $0.95 | $0.95 | $0.95 |
Cigna Setting Facility Modifier None Typical Low $1.02 Median $1.82 Typical High $2.04 | Facility | None | $1.02 | $1.82 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $0.66 Median $0.85 Typical High $0.95 | Professional | None | $0.66 | $0.85 | $0.95 |
DeanCare Setting Facility Modifier None Typical Low $0.62 Median $0.78 Typical High $0.78 | Facility | None | $0.62 | $0.78 | $0.78 |
Medica Setting Facility Modifier None Typical Low $0.62 Median $0.78 Typical High $1.00 | Facility | None | $0.62 | $0.78 | $1.00 |
Medica Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.91 | Professional | None | $0.68 | $0.68 | $0.91 |
Network Health Setting Facility Modifier None Typical Low $1.07 Median $1.48 Typical High $1.48 | Facility | None | $1.07 | $1.48 | $1.48 |
Prevea360 Setting Facility Modifier None Typical Low $0.62 Median $0.78 Typical High $0.78 | Facility | None | $0.62 | $0.78 | $0.78 |
Quartz Setting Facility Modifier None Typical Low $0.87 Median $2.00 Typical High $2.00 | Facility | None | $0.87 | $2.00 | $2.00 |
Quartz Setting Professional Modifier None Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | None | $0.66 | $0.66 | $0.66 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.91 | Professional | None | $0.68 | $0.68 | $0.91 |
Where Wisconsin sits
The same service costs 1.7 times more in South Carolina 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· 6th of 51
$0.78
SC $1.10HI $0.63
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.