How much rates vary
Facilitymedian $170 · 10th to 90th $65 to $2,884Professionalmedian $158 · 10th to 90th $66 to $603
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 $87.10 Median $87.10 Typical High $199.53 | Facility | None | $87.10 | $87.10 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $676.08 | Professional | None | $87.10 | $87.10 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $223.87 Typical High $457.09 | Professional | None | $56.23 | $223.87 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $251.19 | Facility | None | $147.91 | $169.82 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $323.59 | Professional | None | $83.18 | $100.00 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $2,630.27 Typical High $3,548.13 | Facility | None | $64.57 | $2,630.27 | $3,548.13 |
DeanCare Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $158.49 | Professional | None | $104.71 | $144.54 | $158.49 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $912.01 | Facility | None | $51.29 | $67.61 | $912.01 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $269.15 Typical High $2,884.03 | Professional | None | $79.43 | $269.15 | $2,884.03 |
Network Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Facility | None | $87.10 | $87.10 | $123.03 |
Network Health Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $218.78 | Professional | None | $81.28 | $147.91 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $120.23 | Facility | None | $51.29 | $64.57 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $112.20 Typical High $269.15 | Professional | None | $54.95 | $112.20 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $218.78 | Professional | None | $83.18 | $83.18 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $134.90 Median $346.74 Typical High $398.11 | Professional | None | $134.90 | $346.74 | $398.11 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $67.61 Median $154.88 Typical High $323.59 | Professional | None | $67.61 | $154.88 | $323.59 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $338.84 | Professional | 52 · Reduced service | $43.65 | $43.65 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $134.90 | Professional | 53 · Discontinued | $17.38 | $17.38 | $134.90 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | 80 · Assistant surgeon | $363.08 | $446.68 | $562.34 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | 81 · Minimal assistant surgeon | $363.08 | $446.68 | $562.34 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | 82 · Assistant surgeon, no resident | $363.08 | $446.68 | $562.34 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $316.23 Median $389.05 Typical High $501.19 | Facility | AS · PA/NP assist | $316.23 | $389.05 | $501.19 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $22.91 Typical High $25.70 | Professional | 80 · Assistant surgeon | $16.98 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $22.91 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $16.98 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $22.91 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $19.95 Typical High $22.39 | Professional | AS · PA/NP assist | $14.79 | $19.95 | $22.39 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 5th of 51
$158
AK $200TX $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.