How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $60.26 Median $60.26 Typical High $199.53 | Facility | None | $60.26 | $60.26 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $281.84 | Professional | None | $47.86 | $60.26 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $154.88 Typical High $316.23 | Professional | None | $38.90 | $154.88 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $181.97 | Facility | None | $107.15 | $123.03 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $194.98 | Professional | None | $50.12 | $60.26 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $77.62 | Facility | None | $34.67 | $44.67 | $77.62 |
DeanCare Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $112.20 | Professional | None | $74.13 | $93.33 | $112.20 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $77.62 | Facility | None | $34.67 | $44.67 | $77.62 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $138.04 Typical High $257.04 | Professional | None | $47.86 | $138.04 | $257.04 |
Network Health Setting Professional Modifier None Typical Low $29.51 Median $67.61 Typical High $120.23 | Professional | None | $29.51 | $67.61 | $120.23 |
Prevea360 Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $77.62 | Facility | None | $34.67 | $44.67 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $173.78 | Professional | None | $43.65 | $87.10 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $151.36 | Professional | None | $57.54 | $57.54 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Security Health Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $302.00 | Facility | None | $218.78 | $263.03 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $331.13 | Professional | None | $251.19 | $281.84 | $331.13 |
The Alliance Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $257.04 | Professional | None | $69.18 | $114.82 | $257.04 |
United Setting Professional Modifier None Typical Low $40.74 Median $95.50 Typical High $208.93 | Professional | None | $40.74 | $95.50 | $208.93 |
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 $11.75 Median $14.79 Typical High $17.78 | Professional | 80 · Assistant surgeon | $11.75 | $14.79 | $17.78 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $14.79 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $11.75 | $14.79 | $17.78 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $14.79 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $14.79 | $17.78 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $12.88 Typical High $15.49 | Professional | AS · PA/NP assist | $10.23 | $12.88 | $15.49 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Utah. 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
$107
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.