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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $5,370.32 | Professional | None | $588.84 | $588.84 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $1,698.24 Typical High $2,290.87 | Professional | None | $630.96 | $1,698.24 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,288.25 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $707.95 Median $2,951.21 Typical High $4,073.80 | Facility | None | $707.95 | $2,951.21 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,778.28 | Facility | None | $588.84 | $707.95 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,698.24 Typical High $4,168.69 | Professional | None | $676.08 | $1,698.24 | $4,168.69 |
Network Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,000.00 | $1,023.29 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,318.26 | Facility | None | $588.84 | $707.95 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,949.84 | Professional | None | $707.95 | $1,318.26 | $1,949.84 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,951.21 | Professional | None | $933.25 | $1,445.44 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,698.24 Typical High $3,388.44 | Professional | None | $645.65 | $1,698.24 | $3,388.44 |
4 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 $416.87 Median $512.86 Typical High $645.65 | Facility | 80 · Assistant surgeon | $416.87 | $512.86 | $645.65 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $416.87 Median $512.86 Typical High $645.65 | Facility | 81 · Minimal assistant surgeon | $416.87 | $512.86 | $645.65 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $416.87 Median $512.86 Typical High $645.65 | Facility | 82 · Assistant surgeon, no resident | $416.87 | $512.86 | $645.65 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | AS · PA/NP assist | $363.08 | $446.68 | $562.34 |
Where Wisconsin sits
The same service costs 4.8 times more in Alaska than in Mississippi. 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· 2nd of 51
$1,514
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.