How much rates vary
Facilitymedian $1,778 · 10th to 90th $158 to $4,467Professionalmedian $209 · 10th to 90th $56 to $759
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 $46.77 Median $158.49 Typical High $14,454.40 | Facility | None | $46.77 | $158.49 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $158.49 Typical High $891.25 | Professional | None | $46.77 | $158.49 | $891.25 |
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 $69.18 Median $239.88 Typical High $831.76 | Professional | None | $69.18 | $239.88 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $354.81 Typical High $1,230.27 | Professional | 50 · Both sides | $102.33 | $354.81 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $537.03 | Facility | None | $316.23 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $131.83 Typical High $436.52 | Professional | None | $66.07 | $131.83 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $2,754.23 Typical High $5,128.61 | Facility | None | $56.23 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $323.59 | Professional | None | $64.57 | $120.23 | $323.59 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $181.97 Typical High $489.78 | Professional | 50 · Both sides | $95.50 | $181.97 | $489.78 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $1,230.27 Typical High $1,778.28 | Facility | None | $74.13 | $1,230.27 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $446.68 Typical High $870.96 | Professional | None | $158.49 | $446.68 | $870.96 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $354.81 | Professional | None | $97.72 | $173.78 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $218.78 | Facility | None | $38.02 | $74.13 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $151.36 Typical High $501.19 | Professional | None | $53.70 | $151.36 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $125.89 Typical High $263.03 | Professional | None | $66.07 | $125.89 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $645.65 | Professional | None | $186.21 | $186.21 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $870.96 | Professional | None | $204.17 | $338.84 | $870.96 |
The Alliance Setting Professional Modifier None Typical Low $56.23 Median $144.54 Typical High $218.78 | Professional | None | $56.23 | $144.54 | $218.78 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,659.59 | $1,949.84 |
United Setting Professional Modifier None Typical Low $57.54 Median $169.82 Typical High $524.81 | Professional | None | $57.54 | $169.82 | $524.81 |
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 $32.36 Median $60.26 Typical High $162.18 | Professional | 51 · Multiple procedures | $32.36 | $60.26 | $162.18 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.23 Median $19.50 Typical High $51.29 | Professional | 80 · Assistant surgeon | $10.23 | $19.50 | $51.29 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $19.50 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $10.23 | $19.50 | $51.29 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $19.50 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $19.50 | $51.29 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $16.98 Typical High $45.71 | Professional | AS · PA/NP assist | $8.91 | $16.98 | $45.71 |
Where Wisconsin sits
The same service costs 3.4 times more in Wisconsin than in Nebraska. 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· 1st of 51
$224
WI $224NE $66.07
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.