How much rates vary
Facilitymedian $676,083 · 10th to 90th $501,187 to $1,445,440Professionalmedian $602,560 · 10th to 90th $549,541 to $977,237
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 $602,559.59 Median $602,559.59 Typical High $1,288,249.55 | Facility | None | $602,559.59 | $602,559.59 | $1,288,249.55 |
Aetna Setting Professional Modifier None Typical Low $208,929.61 Median $602,559.59 Typical High $602,559.59 | Professional | None | $208,929.61 | $602,559.59 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104,712.85 Median $295,120.92 Typical High $295,120.92 | Professional | 52 · Reduced service | $104,712.85 | $295,120.92 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41,686.94 Median $120,226.44 Typical High $120,226.44 | Professional | 53 · Discontinued | $41,686.94 | $120,226.44 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31,622.78 Median $89,125.09 Typical High $89,125.09 | Professional | 55 · Aftercare only | $31,622.78 | $89,125.09 | $89,125.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20,892.96 Median $60,255.96 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $20,892.96 | $60,255.96 | $60,255.96 |
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 $575,439.94 Median $575,439.94 Typical High $741,310.24 | Professional | None | $575,439.94 | $575,439.94 | $741,310.24 |
Cigna Setting Facility Modifier None Typical Low $776,247.12 Median $1,288,249.55 Typical High $1,445,439.77 | Facility | None | $776,247.12 | $1,288,249.55 | $1,445,439.77 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $676,082.98 Typical High $1,047,128.55 | Professional | None | $549,540.87 | $676,082.98 | $1,047,128.55 |
DeanCare 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 |
DeanCare Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Medica Setting Facility Modifier None Typical Low $478,630.09 Median $537,031.80 Typical High $724,435.96 | Facility | None | $478,630.09 | $537,031.80 | $724,435.96 |
Medica Setting Professional Modifier None Typical Low $977,237.22 Median $977,237.22 Typical High $977,237.22 | Professional | None | $977,237.22 | $977,237.22 | $977,237.22 |
Network Health Setting Facility Modifier None Typical Low $457,088.19 Median $501,187.23 Typical High $501,187.23 | Facility | None | $457,088.19 | $501,187.23 | $501,187.23 |
Network Health Setting Professional Modifier None Typical Low $363,078.05 Median $549,540.87 Typical High $660,693.45 | Professional | None | $363,078.05 | $549,540.87 | $660,693.45 |
Prevea360 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 |
Quartz Setting Professional Modifier None Typical Low $575,439.94 Median $616,595.00 Typical High $912,010.84 | Professional | None | $575,439.94 | $616,595.00 | $912,010.84 |
Security Health Setting Professional Modifier None Typical Low $776,247.12 Median $794,328.23 Typical High $954,992.59 | Professional | None | $776,247.12 | $794,328.23 | $954,992.59 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $616,595.00 Typical High $616,595.00 | Professional | None | $562,341.33 | $616,595.00 | $616,595.00 |
Where Wisconsin sits
The same service costs 1.7 times more in Texas than in Minnesota. 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
$602,560
TX $977,237MN $562,341
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.