How much rates vary
Facilitymedian $2,344 · 10th to 90th $200 to $4,365Professionalmedian $3,020 · 10th to 90th $832 to $7,413
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 $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $10,000.00 Median $11,220.18 Typical High $11,748.98 | Professional | None | $10,000.00 | $11,220.18 | $11,748.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $5,623.41 | Professional | 52 · Reduced service | $691.83 | $691.83 | $5,623.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $2,290.87 | Professional | 53 · Discontinued | $275.42 | $275.42 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $3,801.89 Typical High $7,413.10 | Professional | None | $831.76 | $3,801.89 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $3,548.13 | Facility | None | $2,089.30 | $2,344.23 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $3,890.45 | Professional | None | $1,479.11 | $3,388.44 | $3,890.45 |
DeanCare Setting Facility Modifier None Typical Low $1,258.93 Median $3,801.89 Typical High $5,128.61 | Facility | None | $1,258.93 | $3,801.89 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,659.59 | Facility | None | $851.14 | $1,258.93 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $2,137.96 Typical High $5,623.41 | Professional | None | $426.58 | $2,137.96 | $5,623.41 |
Network Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Prevea360 Setting Facility Modifier None Typical Low $851.14 Median $912.01 Typical High $1,659.59 | Facility | None | $851.14 | $912.01 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,047.13 Median $2,187.76 Typical High $3,090.30 | Professional | None | $1,047.13 | $2,187.76 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,630.78 | Professional | None | $3,311.31 | $3,311.31 | $3,630.78 |
Security Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $6,309.57 | Professional | None | $4,365.16 | $4,677.35 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,737.80 Typical High $4,073.80 | Professional | None | $676.08 | $1,737.80 | $4,073.80 |
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 Facility Modifier 80 · Assistant surgeon Typical Low $524.81 Median $660.69 Typical High $831.76 | Facility | 80 · Assistant surgeon | $524.81 | $660.69 | $831.76 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $524.81 Median $660.69 Typical High $831.76 | Facility | 81 · Minimal assistant surgeon | $524.81 | $660.69 | $831.76 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $524.81 Median $660.69 Typical High $831.76 | Facility | 82 · Assistant surgeon, no resident | $524.81 | $660.69 | $831.76 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $467.74 Median $575.44 Typical High $724.44 | Facility | AS · PA/NP assist | $467.74 | $575.44 | $724.44 |
Where Wisconsin sits
The same service costs 64.6 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
$3,020
AK $3,715NY $57.54
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.