How much rates vary
Facilitymedian $1,202 · 10th to 90th $100 to $3,802Professionalmedian $148 · 10th to 90th $54 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 $36.31 Median $81.28 Typical High $14,454.40 | Facility | None | $36.31 | $81.28 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $616.60 | Professional | None | $36.31 | $81.28 | $616.60 |
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 $53.70 Median $151.36 Typical High $269.15 | Professional | None | $53.70 | $151.36 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $812.83 | Facility | None | $100.00 | $234.42 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $165.96 Typical High $354.81 | Professional | None | $75.86 | $165.96 | $354.81 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $2,630.27 Typical High $5,128.61 | Facility | None | $46.77 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $229.09 | Professional | None | $72.44 | $138.04 | $229.09 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $812.83 Typical High $1,778.28 | Facility | None | $102.33 | $812.83 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $316.23 Typical High $660.69 | Professional | None | $81.28 | $316.23 | $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 $89.13 Median $173.78 Typical High $245.47 | Professional | None | $89.13 | $173.78 | $245.47 |
Prevea360 Setting Facility Modifier None Typical Low $37.15 Median $83.18 Typical High $691.83 | Facility | None | $37.15 | $83.18 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $346.74 | Professional | None | $74.13 | $169.82 | $346.74 |
Quartz Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $1,096.48 | Facility | None | $100.00 | $151.36 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $186.21 | Professional | None | $75.86 | $141.25 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | None | $138.04 | $138.04 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $275.42 Typical High $707.95 | Professional | None | $147.91 | $275.42 | $707.95 |
The Alliance Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
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 $47.86 Median $125.89 Typical High $338.84 | Professional | None | $47.86 | $125.89 | $338.84 |
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 $36.31 Median $69.18 Typical High $114.82 | Professional | 51 · Multiple procedures | $36.31 | $69.18 | $114.82 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $22.39 Typical High $36.31 | Professional | 80 · Assistant surgeon | $11.75 | $22.39 | $36.31 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $22.39 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $11.75 | $22.39 | $36.31 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $22.39 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $22.39 | $36.31 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $19.50 Typical High $32.36 | Professional | AS · PA/NP assist | $10.23 | $19.50 | $32.36 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$166
AK $178KY $48.98
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.