How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,897.79 | Professional | None | $3,388.44 | $3,388.44 | $4,897.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,698.24 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $1,000.00 | Professional | 53 · Discontinued | $676.08 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $741.31 | Professional | 55 · Aftercare only | $501.19 | $501.19 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $489.78 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $3,548.13 | Facility | None | $2,951.21 | $3,162.28 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $10,964.78 | Facility | None | $1,230.27 | $2,630.27 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $5,248.07 | Professional | None | $3,548.13 | $3,548.13 | $5,248.07 |
DeanCare Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Facility | None | $3,235.94 | $3,235.94 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $15,135.61 | Facility | None | $1,288.25 | $4,073.80 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $15,488.17 | Professional | None | $3,388.44 | $4,265.80 | $15,488.17 |
Network Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Facility | None | $3,235.94 | $3,235.94 | $4,073.80 |
Quartz Setting Facility Modifier None Typical Low $4,786.30 Median $10,964.78 Typical High $10,964.78 | Facility | None | $4,786.30 | $10,964.78 | $10,964.78 |
Quartz Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,786.30 | Professional | None | $3,467.37 | $3,467.37 | $4,786.30 |
Where Wisconsin sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 35th of 51
$3,467
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.