How much rates vary
Facilitymedian $588,844 · 10th to 90th $478,630 to $1,258,925Professionalmedian $524,807 · 10th to 90th $489,779 to $1,000,000
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 $524,807.46 Median $524,807.46 Typical High $1,122,018.45 | Facility | None | $524,807.46 | $524,807.46 | $1,122,018.45 |
Aetna Setting Professional Modifier None Typical Low $204,173.79 Median $524,807.46 Typical High $524,807.46 | Professional | None | $204,173.79 | $524,807.46 | $524,807.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102,329.30 Median $263,026.80 Typical High $263,026.80 | Professional | 52 · Reduced service | $102,329.30 | $263,026.80 | $263,026.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40,738.03 Median $104,712.85 Typical High $104,712.85 | Professional | 53 · Discontinued | $40,738.03 | $104,712.85 | $104,712.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30,902.95 Median $79,432.82 Typical High $79,432.82 | Professional | 55 · Aftercare only | $30,902.95 | $79,432.82 | $79,432.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20,417.38 Median $52,480.75 Typical High $52,480.75 | Professional | 56 · Pre-op care only | $20,417.38 | $52,480.75 | $52,480.75 |
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 $512,861.38 Median $512,861.38 Typical High $645,654.23 | Professional | None | $512,861.38 | $512,861.38 | $645,654.23 |
Cigna Setting Facility Modifier None Typical Low $676,082.98 Median $1,122,018.45 Typical High $1,258,925.41 | Facility | None | $676,082.98 | $1,122,018.45 | $1,258,925.41 |
Cigna Setting Professional Modifier None Typical Low $478,630.09 Median $602,559.59 Typical High $912,010.84 | Professional | None | $478,630.09 | $602,559.59 | $912,010.84 |
DeanCare Setting Facility Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $489,778.82 | Facility | None | $489,778.82 | $489,778.82 | $489,778.82 |
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 $446,683.59 Median $489,778.82 Typical High $630,957.34 | Facility | None | $446,683.59 | $489,778.82 | $630,957.34 |
Medica Setting Professional Modifier None Typical Low $1,000,000.00 Median $1,000,000.00 Typical High $1,000,000.00 | Professional | None | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
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 $489,778.82 Median $489,778.82 Typical High $489,778.82 | Facility | None | $489,778.82 | $489,778.82 | $489,778.82 |
Quartz Setting Professional Modifier None Typical Low $512,861.38 Median $537,031.80 Typical High $794,328.23 | Professional | None | $512,861.38 | $537,031.80 | $794,328.23 |
Security Health Setting Professional Modifier None Typical Low $691,830.97 Median $707,945.78 Typical High $851,138.04 | Professional | None | $691,830.97 | $707,945.78 | $851,138.04 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $537,031.80 Typical High $537,031.80 | Professional | None | $489,778.82 | $537,031.80 | $537,031.80 |
Where Wisconsin sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 16th of 51
$524,807
TX $1,000,000NJ $489,779
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.