How much rates vary
Facilitymedian $407 · 10th to 90th $174 to $617Professionalmedian $380 · 10th to 90th $135 to $955
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 $199.53 Median $218.78 Typical High $218.78 | Facility | None | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $1,202.26 | Professional | None | $177.83 | $218.78 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $524.81 Typical High $1,000.00 | Professional | None | $131.83 | $524.81 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $457.09 Typical High $691.83 | Facility | None | $407.38 | $457.09 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $794.33 | Professional | None | $208.93 | $331.13 | $794.33 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $501.19 Typical High $676.08 | Facility | None | $173.78 | $501.19 | $676.08 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $416.87 | Professional | None | $309.03 | $371.54 | $416.87 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $338.84 | Facility | None | $134.90 | $194.98 | $338.84 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $338.84 Typical High $831.76 | Professional | None | $141.25 | $338.84 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $234.42 | Facility | None | $186.21 | $186.21 | $234.42 |
Network Health Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $616.60 | Professional | None | $173.78 | $295.12 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $288.40 | Facility | None | $134.90 | $173.78 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $616.60 | Professional | None | $165.96 | $354.81 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $562.34 | Professional | None | $208.93 | $208.93 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $977.24 | Professional | None | $398.11 | $870.96 | $977.24 |
The Alliance Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $128.82 Median $316.23 Typical High $707.95 | Professional | None | $128.82 | $316.23 | $707.95 |
6 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 $109.65 Median $109.65 Typical High $616.60 | Professional | 52 · Reduced service | $109.65 | $109.65 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $245.47 | Professional | 53 · Discontinued | $43.65 | $43.65 | $245.47 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 80 · Assistant surgeon | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 81 · Minimal assistant surgeon | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 82 · Assistant surgeon, no resident | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $60.26 Median $75.86 Typical High $95.50 | Facility | AS · PA/NP assist | $60.26 | $75.86 | $95.50 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska than in New York. 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
$380
AK $490NY $120
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.