How much rates vary
Facilitymedian $2,884 · 10th to 90th $200 to $6,026Professionalmedian $3,715 · 10th to 90th $977 to $8,511
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $12,882.50 Median $14,125.38 Typical High $14,791.08 | Professional | None | $12,882.50 | $14,125.38 | $14,791.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $7,244.36 | Professional | 52 · Reduced service | $812.83 | $812.83 | $7,244.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $2,884.03 | Professional | 53 · Discontinued | $323.59 | $323.59 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $4,466.84 Typical High $8,511.38 | Professional | None | $977.24 | $4,466.84 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,511.89 | $2,884.03 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $4,168.69 Typical High $4,677.35 | Professional | None | $1,778.28 | $4,168.69 | $4,677.35 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $5,248.07 Typical High $7,079.46 | Facility | None | $1,445.44 | $5,248.07 | $7,079.46 |
DeanCare Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $3,235.94 | Facility | None | $1,047.13 | $1,445.44 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $2,630.27 Typical High $7,413.10 | Professional | None | $501.19 | $2,630.27 | $7,413.10 |
Network Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,466.84 | $4,570.88 | $4,570.88 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,995.26 | Facility | None | $1,047.13 | $1,096.48 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,230.27 | $2,511.89 | $3,467.37 |
Quartz Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,168.69 | Professional | None | $4,073.80 | $4,073.80 | $4,168.69 |
Security Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Security Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,623.41 Typical High $7,585.78 | Professional | None | $5,248.07 | $5,623.41 | $7,585.78 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Professional Modifier None Typical Low $776.25 Median $2,089.30 Typical High $4,897.79 | Professional | None | $776.25 | $2,089.30 | $4,897.79 |
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 $724.44 Median $912.01 Typical High $1,148.15 | Facility | 80 · Assistant surgeon | $724.44 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $724.44 Median $912.01 Typical High $1,148.15 | Facility | 81 · Minimal assistant surgeon | $724.44 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $724.44 Median $912.01 Typical High $1,148.15 | Facility | 82 · Assistant surgeon, no resident | $724.44 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $645.65 Median $794.33 Typical High $1,000.00 | Facility | AS · PA/NP assist | $645.65 | $794.33 | $1,000.00 |
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
$3,631
AK $4,365NY $67.61
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.