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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,778.28 | $1,778.28 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | 52 · Reduced service | $870.96 | $870.96 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $478.63 | Professional | 53 · Discontinued | $354.81 | $354.81 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $1,862.09 | Professional | None | $5.50 | $5.50 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $5,754.40 | Facility | None | $2,884.03 | $2,884.03 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
DeanCare Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,187.76 | Facility | None | $1,778.28 | $1,778.28 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,344.23 | Facility | None | $1,778.28 | $2,187.76 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $8,317.64 | Professional | None | $2,187.76 | $2,187.76 | $8,317.64 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Prevea360 Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,187.76 | Facility | None | $1,778.28 | $1,778.28 | $2,187.76 |
Quartz Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
Quartz Setting Facility Modifier None Typical Low $2,511.89 Median $5,754.40 Typical High $5,754.40 | Facility | None | $2,511.89 | $5,754.40 | $5,754.40 |
Quartz Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,187.76 | $3,019.95 |
Where Wisconsin sits
The same service costs 537.0 times more in Alaska than in Ohio. 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· 7th of 51
$2,188
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.