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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $645.65 | Professional | None | $144.54 | $144.54 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $323.59 | Professional | 52 · Reduced service | $72.44 | $72.44 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $128.82 | Professional | 53 · Discontinued | $28.84 | $28.84 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $97.72 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $64.57 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $229.09 | Professional | None | $123.03 | $151.36 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Facility | None | $239.88 | $239.88 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $181.97 | Facility | None | $144.54 | $144.54 | $181.97 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $181.97 | Facility | None | $144.54 | $181.97 | $181.97 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $691.83 | Professional | None | $181.97 | $181.97 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $181.97 | Facility | None | $144.54 | $144.54 | $181.97 |
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 $204.17 Median $467.74 Typical High $467.74 | Facility | None | $204.17 | $467.74 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Where Wisconsin sits
The same service costs 2.2 times more in North Carolina than in Michigan. 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
$182
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.