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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | None (both parts) | $295.12 | $295.12 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $851.14 Typical High $1,122.02 | Facility | None | $213.80 | $851.14 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $676.08 | Facility | None | $165.96 | $199.53 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $501.19 Typical High $1,174.90 | Professional | None (both parts) | $229.09 | $501.19 | $1,174.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $257.04 | $281.84 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $380.19 | Facility | None | $165.96 | $199.53 | $380.19 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $114.82 Median $141.25 Typical High $181.97 | Facility | 80 · Assistant surgeon | $114.82 | $141.25 | $181.97 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $141.25 Typical High $181.97 | Facility | 81 · Minimal assistant surgeon | $114.82 | $141.25 | $181.97 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $141.25 Typical High $181.97 | Facility | 82 · Assistant surgeon, no resident | $114.82 | $141.25 | $181.97 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $100.00 Median $125.89 Typical High $158.49 | Facility | AS · PA/NP assist | $100.00 | $125.89 | $158.49 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $891.25 Typical High $1,122.02 | Facility | TC · Technical part | $724.44 | $891.25 | $1,122.02 |
Where Wisconsin sits
The same service costs 21.9 times more in Kentucky than in Virginia. 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· 11th of 36
$437
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.