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 $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $912.01 Typical High $1,202.26 | Professional | None | $446.68 | $912.01 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $457.09 Typical High $602.56 | Professional | 52 · Reduced service | $218.78 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $181.97 Typical High $239.88 | Professional | 53 · Discontinued | $89.13 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $134.90 Typical High $181.97 | Professional | 55 · Aftercare only | $66.07 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $91.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $44.67 | $91.20 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $50.12 | Professional | None | $36.31 | $42.66 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,318.26 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $616.60 | Professional | None | $478.63 | $537.03 | $616.60 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $398.11 | Professional | None | $199.53 | $223.87 | $398.11 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $416.87 | Professional | None | $169.82 | $223.87 | $416.87 |
Where Wisconsin sits
The same service costs 38.0 times more in Minnesota than in Connecticut. 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
$398
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.