How much rates vary
Facilitymedian $11 · 10th to 90th $3 to $372Professionalmedian $6 · 10th to 90th $3 to $18
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 $4.17 Median $4.17 Typical High $199.53 | Facility | None | $4.17 | $4.17 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $42.66 | Professional | None | $4.17 | $4.17 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $6.92 Typical High $17.78 | Professional | None | $2.34 | $6.92 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $8.13 Typical High $12.30 | Facility | None | $7.24 | $8.13 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $4.07 Typical High $10.72 | Professional | None | $3.09 | $4.07 | $10.72 |
DeanCare Setting Facility Modifier None Typical Low $3.09 Median $338.84 Typical High $457.09 | Facility | None | $3.09 | $338.84 | $457.09 |
DeanCare Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $7.76 | Professional | None | $5.13 | $6.17 | $7.76 |
Medica Setting Facility Modifier None Typical Low $2.14 Median $3.09 Typical High $223.87 | Facility | None | $2.14 | $3.09 | $223.87 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $7.41 Typical High $16.60 | Professional | None | $2.51 | $7.41 | $16.60 |
Network Health Setting Professional Modifier None Typical Low $2.04 Median $4.79 Typical High $8.32 | Professional | None | $2.04 | $4.79 | $8.32 |
Prevea360 Setting Facility Modifier None Typical Low $2.14 Median $3.09 Typical High $5.50 | Facility | None | $2.14 | $3.09 | $5.50 |
Quartz Setting Professional Modifier None Typical Low $3.39 Median $6.31 Typical High $10.72 | Professional | None | $3.39 | $6.31 | $10.72 |
Quartz Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $8.91 | Professional | None | $3.98 | $3.98 | $8.91 |
Security Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Security Health Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $15.85 | Facility | None | $11.48 | $13.80 | $15.85 |
Security Health Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $18.20 | Professional | None | $13.18 | $15.49 | $18.20 |
The Alliance Setting Professional Modifier None Typical Low $5.37 Median $12.59 Typical High $18.62 | Professional | None | $5.37 | $12.59 | $18.62 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $2.40 Median $5.25 Typical High $10.96 | Professional | None | $2.40 | $5.25 | $10.96 |
8 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 Facility Modifier 80 · Assistant surgeon Typical Low $46.77 Median $57.54 Typical High $74.13 | Facility | 80 · Assistant surgeon | $46.77 | $57.54 | $74.13 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $57.54 Typical High $74.13 | Facility | 81 · Minimal assistant surgeon | $46.77 | $57.54 | $74.13 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $57.54 Typical High $74.13 | Facility | 82 · Assistant surgeon, no resident | $46.77 | $57.54 | $74.13 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $40.74 Median $51.29 Typical High $64.57 | Facility | AS · PA/NP assist | $40.74 | $51.29 | $64.57 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.83 Median $1.00 Typical High $1.26 | Professional | 80 · Assistant surgeon | $0.83 | $1.00 | $1.26 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.83 Median $1.00 Typical High $1.26 | Professional | 81 · Minimal assistant surgeon | $0.83 | $1.00 | $1.26 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.83 Median $1.00 Typical High $1.26 | Professional | 82 · Assistant surgeon, no resident | $0.83 | $1.00 | $1.26 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $0.72 Median $0.87 Typical High $1.10 | Professional | AS · PA/NP assist | $0.72 | $0.87 | $1.10 |
Where Wisconsin sits
The same service costs 3.5 times more in Wyoming than in Indiana. 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· 3rd of 51
$6.31
WY $7.94IN $2.29
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.