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 $199.53 Median $1,047.13 Typical High $1,047.13 | Facility | None | $199.53 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $1,047.13 Typical High $1,047.13 | Professional | None | $338.84 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $3,311.31 Median $4,168.69 Typical High $5,248.07 | Facility | None | $3,311.31 | $4,168.69 | $5,248.07 |
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 $537.03 Median $660.69 Typical High $831.76 | Facility | 80 · Assistant surgeon | $537.03 | $660.69 | $831.76 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $537.03 Median $660.69 Typical High $831.76 | Facility | 81 · Minimal assistant surgeon | $537.03 | $660.69 | $831.76 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $537.03 Median $660.69 Typical High $831.76 | Facility | 82 · Assistant surgeon, no resident | $537.03 | $660.69 | $831.76 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $467.74 Median $575.44 Typical High $741.31 | Facility | AS · PA/NP assist | $467.74 | $575.44 | $741.31 |
Where Wisconsin sits
The same service costs 131.8 times more in Oklahoma than in South Carolina. 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· 22nd of 50
$1,047
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.