How much rates vary
Facilitymedian $1,202 · 10th to 90th $87 to $3,548Professionalmedian $107 · 10th to 90th $32 to $355
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 $26.92 Median $37.15 Typical High $87.10 | Facility | None | $26.92 | $37.15 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $81.28 Typical High $354.81 | Professional | None | $26.92 | $81.28 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $89.13 Typical High $190.55 | Professional | None | $34.67 | $89.13 | $190.55 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $131.83 Typical High $281.84 | Professional | 50 · Both sides | $53.70 | $131.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $407.38 | Facility | None | $66.07 | $169.82 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $128.82 Typical High $371.54 | Professional | None | $48.98 | $128.82 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $32.36 Median $2,630.27 Typical High $5,128.61 | Facility | None | $32.36 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $223.87 | Professional | None | $50.12 | $91.20 | $223.87 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $138.04 Typical High $331.13 | Professional | 50 · Both sides | $75.86 | $138.04 | $331.13 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $812.83 Typical High $1,778.28 | Facility | None | $104.71 | $812.83 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $323.59 Typical High $660.69 | Professional | None | $89.13 | $323.59 | $660.69 |
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 $30.90 Median $125.89 Typical High $181.97 | Professional | None | $30.90 | $125.89 | $181.97 |
Prevea360 Setting Facility Modifier None Typical Low $27.54 Median $56.23 Typical High $165.96 | Facility | None | $27.54 | $56.23 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $117.49 Typical High $346.74 | Professional | None | $52.48 | $117.49 | $346.74 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $117.49 Typical High $645.65 | Facility | None | $50.12 | $117.49 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $112.20 Typical High $173.78 | Professional | None | $48.98 | $112.20 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $302.00 | Professional | None | $91.20 | $91.20 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $75.86 Median $204.17 Typical High $575.44 | Professional | None | $75.86 | $204.17 | $575.44 |
The Alliance Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $549.54 | Professional | None | $81.28 | $120.23 | $549.54 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $30.90 Median $107.15 Typical High $380.19 | Professional | None | $30.90 | $107.15 | $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 Professional Modifier 51 · Multiple procedures Typical Low $25.12 Median $45.71 Typical High $112.20 | Professional | 51 · Multiple procedures | $25.12 | $45.71 | $112.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $14.45 Typical High $35.48 | Professional | 80 · Assistant surgeon | $7.94 | $14.45 | $35.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $14.45 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $7.94 | $14.45 | $35.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $14.45 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $14.45 | $35.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $12.88 Typical High $30.90 | Professional | AS · PA/NP assist | $7.08 | $12.88 | $30.90 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska 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· 2nd of 51
$123
AK $145VA $34.67
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.