How much rates vary
Facilitymedian $575,440 · 10th to 90th $1 to $1,380,384Professionalmedian $575,440 · 10th to 90th $562,341 to $954,993
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 $575,439.94 Median $575,439.94 Typical High $1,230,268.77 | Facility | None | $575,439.94 | $575,439.94 | $1,230,268.77 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $575,439.94 | Professional | None | $562,341.33 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $288,403.15 Typical High $288,403.15 | Professional | 52 · Reduced service | $281,838.29 | $288,403.15 | $288,403.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $114,815.36 Typical High $114,815.36 | Professional | 53 · Discontinued | $112,201.85 | $114,815.36 | $114,815.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $85,113.80 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $57,543.99 Typical High $57,543.99 | Professional | 56 · Pre-op care only | $56,234.13 | $57,543.99 | $57,543.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $707,945.78 | Professional | None | $562,341.33 | $562,341.33 | $707,945.78 |
Cigna Setting Facility Modifier None Typical Low $741,310.24 Median $1,202,264.43 Typical High $1,380,384.26 | Facility | None | $741,310.24 | $1,202,264.43 | $1,380,384.26 |
Cigna Setting Professional Modifier None Typical Low $524,807.46 Median $660,693.45 Typical High $977,237.22 | Professional | None | $524,807.46 | $660,693.45 | $977,237.22 |
DeanCare Setting Facility Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Facility | None | $537,031.80 | $537,031.80 | $537,031.80 |
DeanCare Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Professional | None | $537,031.80 | $537,031.80 | $537,031.80 |
Medica Setting Facility Modifier None Typical Low $0.85 Median $1.38 Typical High $537,031.80 | Facility | None | $0.85 | $1.38 | $537,031.80 |
Medica Setting Professional Modifier None Typical Low $954,992.59 Median $954,992.59 Typical High $954,992.59 | Professional | None | $954,992.59 | $954,992.59 | $954,992.59 |
Network Health Setting Facility Modifier None Typical Low $457,088.19 Median $478,630.09 Typical High $478,630.09 | Facility | None | $457,088.19 | $478,630.09 | $478,630.09 |
Network Health Setting Professional Modifier None Typical Low $338,844.16 Median $512,861.38 Typical High $616,595.00 | Professional | None | $338,844.16 | $512,861.38 | $616,595.00 |
Prevea360 Setting Facility Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Facility | None | $537,031.80 | $537,031.80 | $537,031.80 |
Quartz Setting Professional Modifier None Typical Low $562,341.33 Median $588,843.66 Typical High $870,963.59 | Professional | None | $562,341.33 | $588,843.66 | $870,963.59 |
Security Health Setting Professional Modifier None Typical Low $758,577.58 Median $776,247.12 Typical High $933,254.30 | Professional | None | $758,577.58 | $776,247.12 | $933,254.30 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $588,843.66 Typical High $588,843.66 | Professional | None | $537,031.80 | $588,843.66 | $588,843.66 |
Where Wisconsin sits
Rates are fairly even across states for this service. 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· 15th of 51
$575,440
MS $676,083NJ $537,032
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.