How much rates vary
Facilitymedian $1,000 · 10th to 90th $158 to $2,455Professionalmedian $355 · 10th to 90th $141 to $1,000
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 $141.25 Median $1,905.46 Typical High $14,454.40 | Facility | None | $141.25 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $1,819.70 | Professional | None | $141.25 | $141.25 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $512.86 Typical High $1,096.48 | Professional | None | $138.04 | $512.86 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $436.52 Typical High $1,288.25 | Facility | None | $371.54 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $676.08 | Professional | None | $229.09 | $257.04 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $158.49 Median $2,818.38 Typical High $5,370.32 | Facility | None | $158.49 | $2,818.38 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $416.87 | Professional | None | $251.19 | $309.03 | $416.87 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $912.01 Typical High $1,778.28 | Facility | None | $158.49 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $1,096.48 | Professional | None | $162.18 | $316.23 | $1,096.48 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $363.08 | Professional | None | $177.83 | $177.83 | $363.08 |
Prevea360 Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $288.40 | Facility | None | $131.83 | $158.49 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $512.86 | Professional | None | $169.82 | $309.03 | $512.86 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $2,691.53 | Facility | None | $645.65 | $954.99 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None | $257.04 | $257.04 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,000.00 | Professional | None | $457.09 | $645.65 | $1,000.00 |
The Alliance Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | None | $467.74 | $467.74 | $478.63 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $707.95 | Professional | None | $154.88 | $295.12 | $707.95 |
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 Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $48.98 Typical High $66.07 | Professional | 80 · Assistant surgeon | $40.74 | $48.98 | $66.07 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $48.98 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $40.74 | $48.98 | $66.07 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $48.98 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $48.98 | $66.07 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $43.65 Typical High $57.54 | Professional | AS · PA/NP assist | $35.48 | $43.65 | $57.54 |
Where Wisconsin sits
The same service costs 12.0 times more in Utah than in Florida. 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.
Physician feeFacility fee
UT $3,137FL $261
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.